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Distal radius volar plate

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https://www.readbyqxmd.com/read/29426604/damage-in-a-distal-radius-fracture-model-treated-with-locked-volar-plating-after-simulated-postoperative-loading
#1
Christina Salas, Justin A Brantley, James Clark, Mahmoud Reda Taha, Deana M Mercer, Orrin B Myers
PURPOSE: "Damage" is an engineering term defining a period between a state of material perfection and the onset of crack initiation. Clinically, it is a loss of fixation due to microstructural breakdown, indirectly measured as a reduction of stiffness of the bone-implant construct, normalized by the cross-sectional area and length of the bone. The purpose of this study was to characterize damage in a cadaver model of extra-articular distal radius fracture with dorsal comminution treated using 2-column volar distal radius plates...
February 6, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29424173/-meta-analysis-of-clinical-effects-between-intramedullary-nail-and-volar-plate-internal-fixation-for-distal-radius-fractures
#2
Bin-Bin Niu, Yang Zhang, Dong Wang, Zheng-Chao Gao, Wen-Long Yang, Ping-Lin Yang, Xi-Jing He
OBJECTIVE: To evaluate curative effects of intramedullary nail and volar plate internal fixation for distal radius fractures. METHODS: The studies concerning about randomized controlled trial of intramedullary nail and volar plate internal fixation for distal radius fractures from create database to May, 2016 were searched from PubMed, Cochrane Library, Web of Science, CNKI, Wan Fang data and VIP. Information was screen and taken out according to inclusion and exclusion criteria, quality of literature was evaluated according to Cochrane Handbook evaluating system...
June 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29423866/conservative-treatment-of-distal-fractures-after-the-age-of-65-a-review-of-literature
#3
Alexandra Bruyere, Paul Vernet, Santiago Salazar Botero, Yuka Igeta, Juan José Hidalgo Diaz, Philippe Liverneaux
The goal of this study was to evaluate the role of conservative treatment of distal radius fractures in the elderly since 2000. Our series included 22 articles, of which 3 reviews, 2 meta-analyses, 6 descriptive series of conservative treatment, 10 series comparing surgical and conservative treatments and 1 series comparing different types of conservative treatments. The reduction was performed by closed reduction in 7 cases and by traction in 3 cases. A short-arm cast was used in 8 cases and a long-arm cast in 4 cases for an average length of 6 weeks...
February 8, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29409409/use-of-computed-tomography-in-determining-the-occurrence-of-dorsal-and-intra-articular-screw-penetration-in-volar-locking-plate-osteosynthesis-of-distal-radius-fracture
#4
Teik Wei Diong, Nor Hazla Mohamed Haflah, Abdul Yazid Mohd Kassim, Sharifah Majedah Idrus Al Habshi, Mohd Hassan Shukur
BACKGROUND: The use of volar locking plate in distal radius fracture can lead to extensor tendon rupture due to dorsal screw penetration. The aim of our study was to investigate the occurrence of dorsal and intra-articular screw penetration using CT scan after volar distal radius osteosynthesis for distal radius fractures. METHODS: Thirty patients who underwent distal volar locking plate for distal radius fracture were included in a retrospective study. In all 30 patients no dorsal and intra-articular screw penetration were detected on standard AP and lateral views of a plain radiograph...
March 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29409407/complications-of-intramedullary-fixation-for-distal-radius-fractures-in-elderly-patients-a-retrospective-analysis-using-mckay-s-complication-checklist
#5
Takuma Wakasugi, Ritsuro Shirasaka, Toshiyuki Kawauchi, Koji Fujita, Atsushi Okawa
BACKGROUND: Intramedullary fixation for distal radius fractures is reported to be free of hardware irritation and less invasive than other fixation methods. Some specific complications associated with intramedullary fixation, such as radial nerve sensory neuritis, have been reported, but no study has focused on the complication rates of intramedullary fixation for distal radius fractures in the elderly population. Furthermore, no studies have analyzed common complications, such as carpal tunnel syndrome and flexor tenosynovitis including trigger finger, among patients with distal radius fractures treated by intramedullary fixation based on a comprehensive complication checklist...
March 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29398332/cannulated-self-drilling-self-tapping-pins-for-displaced-extraarticular-distal-radius-fractures
#6
REVIEW
Lattisha Bilbrew, Robert Matthias, Thomas Wright
Displaced unstable extra-articular radius fractures are common and frequently treated with open reduction and internal fixation with a fixed-angle volar plate. Although this treatment yields good results, it might be more invasive than necessary for management of this often relatively simple fracture. In this article, we present the technique of using a cannulated self-drilling, self-tapping (CSDT) construct that can be employed in a minimally invasive fashion. The CSDT offers a minimally invasive alternative to volar fixed-angle plating for unstable extra-articular distal radius fractures...
February 2, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29395586/a-prospective-observational-assessment-of-unicortical-distal-screw-placement-during-volar-plate-fixation-of-distal-radius-fractures
#7
Agnes Z Dardas, Charles A Goldfarb, Martin I Boyer, Daniel A Osei, Christopher J Dy, Ryan P Calfee
PURPOSE: Although volar plating of the distal radius is performed frequently, the necessity of distal bicortical fixation in the metaphyseal and epiphyseal areas of the distal radius has not been proven. This study aimed primarily to quantify the ability of unicortical distal screws to maintain operative reduction of adult distal radius fractures and secondarily to determine if unicortical screw lengths could be predicted based on anatomical measurements. METHODS: This prospective trial enrolled 75 adult patients undergoing volar locking plate fixation of a unilateral distal radius fracture at a tertiary center...
January 25, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29383270/combined-fractures-of-the-scaphoid-and-distal-radius-evaluation-of-early-surgical-fixation-21-patients-with-22-wrists
#8
Yusuf Gürbüz, Tahir Sadık Sügün, Murat Kayalar
Introduction  The purpose of this retrospective study, is to evaluate the clinical and functional results of early surgical fixation of the ipsilateral distal radius and scaphoid fractures in 22 of 21 patients. Patients and Methods  Overall, 22 combined ipsilateral scaphoid, and distal radius fracture treatments between 2002 and 2015 were evaluated. The mean age was 34.9 (range: 19-82) years. One patient had bilateral injuries. In 17 patients the injury was due to a fall from a height, and in 4 patients due to a motorcycle accident...
February 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29381680/use-of-volar-locking-plate-versus-intramedullary-nailing-for-fixation-of-distal-radius-fractures-a-retrospective-analysis-of-clinical-and-radiographic-outcomes
#9
Murat Çalbıyık, Deniz Ipek
BACKGROUND The objective of this study was to evaluate clinical and radiographic outcomes of volar plate versus intramedullary nailing for fixation of distal radius fractures. MATERIAL AND METHODS This retrospective study included 64 patients with extra-articular and simple intra-articular fractures of the distal radius who underwent intramedullary fixation using volar locking plate (n=35, mean age 47.3±16.4 years, 82.9% female) or intramedullary nailing (n=29, mean age 51.3±10.1 years, 58.6% female). Outcome measures were range of motion (ROM); visual analog scale (VAS); Disabilities of the Arm, Shoulder, and Hand (DASH) score; Gartland-Werley score; Stewart score; and radiographic findings...
January 30, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29378488/commentary-on-martinez-mendez-d-et%C3%A2-al-intra-articular-distal-radius-fractures-in-elderly-patients-a-randomized-prospective-study-of-casting-versus-volar-plating
#10
Shohei Omokawa
No abstract text is available yet for this article.
February 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29368237/the-minimally-invasive-flexor-carpi-radialis-approach-a-new-perspective-for-distal-radius-fractures
#11
Yuka Igeta, Paul Vernet, Sybille Facca, Ismaël Naroura, Juan José Hidalgo Diaz, Philippe A Liverneaux
The minimally invasive flexor carpi radialis approach can be used for volar locking plate fixation of distal radius fractures. After 15-mm incision on the lateral aspect of the FCR tendon and all structures but the radial artery are reclined ulnarly, a plate is inserted under the pronator quadratus just proximal to the "watershed line." The distal epiphyseal screws are put in place, and the proximal part of the plate is exposed by flexion of the wrist to put in place the proximal screws. No drainage or postoperative immobilization is used...
January 24, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29358010/volar-plate-fixation-to-treat-scaphoid-nonunion-a-case-series-with-minimum-3-years-of-follow-up
#12
Ignacio Esteban-Feliu, Sergi Barrera-Ochoa, Nuria Vidal-Tarrason, Bernat Mir-Simon, Alex Lluch, Xavier Mir-Bullo
PURPOSE: Several options exist for treating scaphoid nonunion. For selected cases, some authors recommend using a volar buttress plate. The aim of the study was to report the clinical and radiological outcomes achieved at a minimum of 3 years' follow-up of treating scaphoid nonunion with a scaphoid volar plate. METHODS: We retrospectively reviewed 15 patients with symptomatic scaphoid nonunion treated with scaphoid plate osteosynthesis and a bone graft from the volar aspect of the distal radius between January 2011 and November 2013...
January 19, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29356843/hairline-fractures-following-volar-plating-of-the-distal-radius-a-recently-recognized-hardware-related-complication
#13
Hila Otremski, Oleg Dolkart, Franck Atlan, Dan Hutt, Elad Segev, Tamir Pritsch, Yishai Rosenblatt
OBJECTIVES: Intraoperative hairline longitudinal fractures were recently reported in association with distal radius volar plating. Our aim was to further analyze this newly described complication. METHODS: A retrospective radiographic and chart review was performed on 225 patients who underwent distal radius plating between June 2013 and June 2015. The Acu-Loc/Acu-Loc2© plating system (Acumed, Hillsboro, OR, USA) was used in 208 cases, and the VariAx© plating system (Stryker, Kalamazoo, MI, USA) was used in 17 cases...
January 22, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29241818/treatment-of-intra-articular-fracture-of-distal-radius-fractures%C3%A2-with-fluoroscopic-only-or-combined-with-arthroscopic-control%C3%A2-a-prospective-tomodensitometric-comparative-study-of-40-patients
#14
M Burnier, M Le Chatelier Riquier, G Herzberg
BACKGROUND: Considering articular distal radius fractures treated with volar plate, we hypothesized that articular radio-carpal displacement was better reduced with arthroscopic control than with only fluoroscopic control. METHODS: Forty patients with similar articular radius fracture (type C according to AO classification) and high functional needs were treated with volar plate fixation. They were divided in two comparative groups: 20 patients in Fluoroscopic group and 20 patients in Arthroscopic group...
December 11, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29238111/distal-radius-nonunion-after-volar-locking-plate-fixation-of-a-distal-radius-fracture-a-case-report
#15
Takaaki Shinohara, Hitoshi Hirata
We describe a 59-year-old man who had nonunion of a right distal radius fracture after volar locking plate fixation. He underwent open reduction and internal fixation with a volar locking plate system for a dorsally displaced, unstable distal radius fracture at a previous hospital 5 months ago. Radiographs of the injured wrist showed nonunion of the distal radius with 1.5-mm ulnar minus variance. Radiographs of the unaffected wrist showed 3.5-mm ulnar plus variance. Intraoperative findings of surgical revision showed an unstable nonunion; thus, debridement of the nonunion, autogenous inlay bone grafting, and internal fixation using another type of volar locking plate system were performed...
November 2017: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/29231799/the-minimally-invasive-approach-for-distal-radius-fractures-and-malunions
#16
Philippe A Liverneaux
This article reviews the author's currently used minimal invasive approach for volar plating of distal radius fractures. A single longitudinal incision of 1.5 cm is drawn on the lateral aspect of the flexor carpi radialis tendon in order to insert a plate under the pronator quadratus. With the wrist flexed, the plate is applied on the anterior cortex of the radius to reduce the fracture. This approach offers the advantage of preserving ligamentotaxis, which facilitates the reduction, and the small scar improves the cosmetics...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29229540/in-vivo-confirmation-of-the-reliability-of-the-dorsal-tangential-view-of-the-wrist
#17
G Kiyak
The purpose of the study was to evaluate the reliability of the dorsal tangential view (DTV) of the wrist using direct visualization of the extensor compartments in vivo. Twelve patients with extensor tendon complications [nine patients with extensor synovitis, two patients with isolated extensor pollicis longus (EPL) rupture, one patient with EPL and extensor indicis proprius rupture] after volar plating of a distal radius fracture were enrolled in the study. We obtained DTVs in the operating room before implant removal and explored the extensor compartments during synovectomy or tendon reconstruction to confirm suspected screw penetration...
December 8, 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/29228851/volar-locking-plate-fixation-versus-external-fixation-of-distal-radius-fractures-a-meta-analysis
#18
Conor J C Gouk, Randip R Bindra, Drew J Tarrant, Michael J E Thomas
This meta-analysis evaluates reported outcomes of volar locking plates versus external fixation for management of distal radius fractures. A comprehensive literature search was carried out using PubMed, embase, MEDLINE, and the Cochrane Library. Multiple outcomes were analysed: study characteristics, objective/subjective outcome measures, radiographic parameters, and complication rates. Nine studies containing 780 participants met the outlined inclusion criteria. Disabilities of the arm, shoulder, and hand scores significantly favoured volar locking plates, but only at 3 months was the difference clinically meaningful...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29212691/longitudinal-recovery-following-distal-radial-fractures-managed-with-volar-plate-fixation
#19
REVIEW
S B Stinton, P L Graham, N A Moloney, L R Maclachlan, D W Edgar, E Pappas
AIMS: To synthesise the literature and perform a meta-analysis detailing the longitudinal recovery in the first two years following a distal radius fracture (DRF) managed with volar plate fixation. MATERIALS AND METHODS: Three databases were searched to identify relevant articles. Following eligibility screening and quality assessment, data were extracted and outcomes were assimilated at the post-operative time points of interest. A state-of-the-art longitudinal mixed-effects meta-analysis model was employed to analyse the data...
December 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/29166785/elevated-radiation-exposure-associated-with-above-surface-flat-detector-mini-c-arm-use
#20
Dennis P Martin, Talia Chapman, Christopher Williamson, Brian Tinsley, Asif M Ilyas, Mark L Wang
BACKGROUND: This study aims to test the hypothesis that: (1) radiation exposure is increased with the intended use of Flat Surface Image Intensifier (FSII) units above the operative surface compared with the traditional below-table configuration; (2) this differential increases in a dose-dependent manner; and (3) radiation exposure varies with body part and proximity to the radiation source. METHODS: A surgeon mannequin was seated at a radiolucent hand table, positioned for volar distal radius plating...
November 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
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