Simultaneous ipsilateral fractures of distal and proximal ends of the radius

Kadi, Khalid Ibn El; Benabid, M.; Saliou, Sarr; Assil, Oussama; Marzouki, A.; Lahrach, K.; Boutayeb, F.

doi:10.11604/pamj.2017.27.98.3504

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…In addition, they make the stress distribution uniform, relieve stress concentration, effectively avoid stress shielding, and reduce the risk of internal fixation fracture and refractures at the distal and proximal ends of internal fixation. [23] There was no case of re fracture and failure of internal fixation in this group.…”

Section: Discussionmentioning

confidence: 79%

Bridged combined fixation system versus locking plate in the treatment of patients with implant periprosthetic refracture following proximal femoral fracture surgery: A retrospective observational study

Zhang

Yang

et al. 2022

Medicine

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Locking plate (LP) re-fixation is mainly used to treat postoperative implant periprosthetic refractures; however, the extensive trauma and the fixation form of LP make the operation difficult. The bridge combined fixation system (BCFS) is a new clip-rod internal fixation system, and its clinical application is in its infancy. To compare the clinical effect of BCFS and LP in the treatment of geriatric postoperative implant periprosthetic refracture following proximal femoral fracture surgery. Thirty-two patients (14 with BCFS and 18 with LP) with postoperative implant periprosthetic refracture following proximal femoral fracture surgery, who underwent surgery in our hospital, were analyzed retrospectively. The incision length, operation time, intraoperative bleeding volume, postoperative drainage volume, postoperative hospital stay, fracture healing time and complications of each patient were recorded. Regular radiographs were taken after the operation to evaluate the fracture reduction and fixation. All the patients were followed for 12 months to evaluate their limb function by Johner‐Wruhs scoring criteria. The patients were followed for an average of 24.1 months, and all achieved bony union, with no complications such as infection, nonunion, and internal fixation instrument falling off and loosening after the operation. Delayed healing occurred in two cases in the LP group. The average value of surgical incision length, operation time, postoperative hospitalization time and fracture healing time in the BCFS group were significantly smaller than those in the LP group, accompanied by a decrease in intraoperative bleeding and postoperative drainage volumes (P < .05). The rate of limb function in the BCFS group (85.7%) was higher than that in the LP group (83.3%), with no significance (P > .05). The BCFS in the refracture around the implant of the proximal femoral fracture exhibited many advantages such as simple operation, strong plasticity, effective reduction of surgical trauma, promotion of fracture healing and early functional rehabilitation, etc, making it an advantageous clinical application.

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Section: Discussionmentioning

confidence: 79%

Bridged combined fixation system versus locking plate in the treatment of patients with implant periprosthetic refracture following proximal femoral fracture surgery: A retrospective observational study

Zhang

Yang

et al. 2022

Medicine

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“…varying from closed reduction and Plaster of Paris application to K-wire fixation, external fixation (ligamentotaxsis) and finally open reduction and volar locking plate. [3,4,5,6] We agree that ORIF of D.R.F as a treatment option has the advantage to restore the radial height, anatomical reduction of radiocarpal joint, is a stable fixation and permits early mobilization, and therefore we addressed palmar volar locking plate in distal radius fractures. [6] Management of radial head fracture is clearly described.…”

Section: Discussionmentioning

confidence: 95%

Simultaneous Fractures of Proximal and Distal End of Radius. An Unusual Pattern of Complex Injuries and Clinical Review

Kastanis

Spyrantis

Magarakis

et al. 2019

ijirms

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While the isolated fractures of proximal or distal radius are very common injuries in adults and account to 14% and 18% of all extremity fractures the simultaneous ipsilateral fractures of proximal and distal end of radius are quite uncommon. We present two cases (females 64 and 56 years old) with ipsilateral fractures of radial head and distal end of radius due to a fall. No signs of ligamentous injuries were found in preoperative magnetic resonance imaging’s (MRI). Firstly we treated the distal radius fracture in both cases with volar locking plate, secondly we approached the radial head fracture: in one case (Maison type I) conservatively (plaster of Paris) and in the other case (Maison type III) with radial head replacement. The aim of this study has two objectives: first to increase the awareness of diagnosing this bipolar injury in the emergency department and second to introduce the modalities of treatment.

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“…(2007)45FemaleComminuted fractureComminuted fracture neck of radial and olecranon fractureProximal closed manipulation reduction (CMR) and percutaneous wiring of neck of radial and tension band wiring (TBW) of olecranon.Agarwal et al 2 . (2007)12MaleSalter-Harris type II distal end radiusSalter-Harris type II proximal end radius and fracture proximal and distal end of ipsilateral ulnaSimultaneous full length castAgarwal 2 (2007)11MaleSalter-Harris type II distal end radiusDisplaced fracture dislocation proximal radial epiphysis and chip fracture olecranon tipAddressing proximal fracture then distal fractureProximal – Open reduction and K-wiring, distal CMR and K-wiringKhalid 8 (2013)42MaleFracture distal end of radiusUndisplaced radial neck fracture (Mason I)Distal –open reduction with internal fixation, Proximal – full length cast.…”

Section: Discussionmentioning

confidence: 99%

Ipsilateral proximal and distal radius fractures with unstable elbow joint: Which should we address first?

Kamaludin

Kamudin

Abdullah

et al. 2019

Chinese Journal of Traumatology

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Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon. We present our thoughts on which fracture should be addressed first. A 68-year-old lady sustained an ipsilateral fracture of the right radial head and distal end of radius following a fall. Clinically her right elbow was posteriorly dislocated and right wrist was deformed. Plain radiographs showed an intraarticular fracture of the distal end of radius and a comminution radial head fracture with a proximally migrated radius. Magnetic resonance imaging (MRI) showed no significant ligament injuries. We addressed her distal radius first with an anatomical locking plate followed by her radial head with a radial head replacement. Our rationale to treat the distal end radius: first was to obtain a correct alignment of Lister's tubercle and correct the distal radius height. Lister's tubercle was used to guide for the correct rotation of the radial head prosthesis. Correcting the distal end fracture radial height helped us with length selection of the radial head prosthesis and address the proximally migrated radial shaft and neck. Postoperative radiographs showed an acceptable reduction. The Cooney score was 75 at 3 months postoperatively, which was equivalent to a fair functional outcome.

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Simultaneous ipsilateral fractures of distal and proximal ends of the radius

Cited by 4 publications

References 10 publications

Bridged combined fixation system versus locking plate in the treatment of patients with implant periprosthetic refracture following proximal femoral fracture surgery: A retrospective observational study

Bridged combined fixation system versus locking plate in the treatment of patients with implant periprosthetic refracture following proximal femoral fracture surgery: A retrospective observational study

Simultaneous Fractures of Proximal and Distal End of Radius. An Unusual Pattern of Complex Injuries and Clinical Review

Ipsilateral proximal and distal radius fractures with unstable elbow joint: Which should we address first?

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