Volar Locking Plate Osteosynthesis for Distal Radial Fractures

Javed, Saqib; Shahid, Rizwan; Thimmiah, Ravi; El-deen, Muj

doi:10.1177/230949901502300313

Cited by 7 publications

(5 citation statements)

References 19 publications

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“…After the removal of duplicates, and screening of the titles, abstracts, and full texts, 112 articles were included in the systematic review ( Fig. 1 ) ( 6 , 10 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , ...…”

Section: Resultsmentioning

confidence: 99%

Complications after volar plate synthesis for distal radius fractures

Pacchiarini,

Massimo Oldrini,

Feltri

et al. 2024

EFORT Open Reviews

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Purpose Distal radius fractures (DRFs) represent up to 18% of all fractures in the elderly population, yet studies on the rate of complications following surgery are lacking in the literature. This systematic review aimed to quantify the rate of complications and reinterventions in patients treated with volar plate for distal radius fractures, and analyze if there was any predisposing factor. Methods A comprehensive literature search was performed on three databases up to January 2023, following PRISMA guidelines. Studies describing volar plate complications and hardware removal were included. A systematic review was performed on complications and rate of reintervention. Assessment of risk of bias and quality of evidence was performed with the ‘Down and Black’s Checklist for measuring quality’. Results About112 studies including 17 288 patients were included. The number of complications was 2434 in 2335 patients; the most frequent was carpal tunnel syndrome (CTS), representing 14.3% of all complications. About 104 studies reported the number of reinterventions, being 1880 with a reintervention rate of 8.5%. About 84 studies reported the reason of reintervention; the most common were patient’s will (3.0%), pain (1.1%), CTS (1.2%), and device failure (1.1%). Conclusion The complication rate after DRFs is 13.5%, with the main complication being CTS (14.3%), followed by pain and tendinopathy. The reintervention rate is 8.5%, mainly due to the patient’s willingness, and all these patients had plate removal. Correct positioning of the plate and correct information to the patient before surgery can reduce the number of hardware removal, thereby reducing costs and the risk of complications associated with VLP for distal radius fractures.

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Section: Resultsmentioning

confidence: 99%

Complications after volar plate synthesis for distal radius fractures

Pacchiarini,

Massimo Oldrini,

Feltri

et al. 2024

EFORT Open Reviews

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“…Regarding the locking plate, at present, the "small" volar locking plate is often used, which has the advantages of good internal fixation and less complications [36]. Simic et al reported that the wrist and hand function recovered well using the dorsal small locking plate fixation.…”

Section: Discussionmentioning

confidence: 99%

Anatomical reduction and precise internal fixation of intra-articular fractures of the distal radius with virtual X-ray and 3D printing

Zhang

et al. 2019

Phys Eng Sci Med

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To evaluate and precisely internal fix intra-articular distal radial fracture (IDRF) using the virtual X-ray and three-dimensional (3D) printing technologies. Twenty-one patients with IDRF were recruited, and the data from digital design group (DDG) and real surgery group (RSG) were collected and analyzed. In DDG, the data from thin-slice computed tomography scan, virtual X-ray measurement parameters, including volar tilt, palmar tilt, radius length (D1), ulnar variation (D2), locking plate position parameter (D3) and distance between key nail and joint surface (D4) were collected. The bone was virtually fixed with the locking plate, and the final model of radius with the screw was obtained by 3D printing. In RSG, the locking plate was precisely pre-bended and used in surgery. During the surgery, the key K-wire was accurately placed and the locking plate was adjusted with the aid of the U-shaped navigation arm. The C-arm was used to observe the positions of key K-wires and the locking plate, and the same above-mentioned parameters were measured intra-and post-operatively. The data from RSG and DDG were compared statistically by t test. This approach proved to be successful in all 21 patients, and none of the screws pierced through the wrist joint surface. All the measured parameters, including the volar tilt, palmar tilt, D1-4, in RSG were not significantly different from preoperative DDG data. Virtual X-ray measurement of anatomical reduction parameters and 3D printing can help the anatomical reduction and precise internal fixation by providing quantitative references, preoperatively, intraoperatively and postoperatively.

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“…Moreover, locked plate fixation may introduce a bulged mass because of mismatched bone-implant contours. 33 Especially, the locked plate is placed in the dorsal Wu side to treat the collapsed and dorsal tilt radius with an opening wedge osteotomy. 32 In the current study, a high correlation between MMWS and DASH Score is found ( p ¼ À0.92 and À0.87, respectively) preoperatively and at the latest follow-up.…”

Section: Discussionmentioning

confidence: 99%