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Distal radius volar plate

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https://www.readbyqxmd.com/read/28725509/saving-tendons-on-distal-radius-fractures-a-simple-surgical-pearl-to-prevent-fpl-tendon-conflict-with-volar-locking-plates
#1
Gustavo Mantovani Ruggiero
Injury to the flexor pollicis longus (FPL) tendon is one of the most frequent complications when fixing distal radius fractures with the volar locking plates. The author proposed a simple surgical technique providing a reliable soft tissue protection to prevent friction on the FPL with the volar locking plate, using a flap of the FCR sheath sutured to attachments of the volar capsule on the lunate buttress facet of the distal radius.
August 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28725505/long-volar-plating-for-metadiaphyseal-fractures-of-distal-radius-study-comparing-minimally-invasive-plate-osteosynthesis-versus-conventional-approach
#2
Emilie Pire, Juan José Hidalgo Diaz, Santiago Salazar Botero, Sybille Facca, Philippe A Liverneaux
Background  Minimally invasive plate osteosynthesis (MIPO) has been used in wrist surgery for several years. The purpose of this retrospective study was to compare clinical and radiologic outcomes of MIPO technique with those of a conventional approach in the treatment of metadiaphyseal distal radius fracture by long volar plating. Materials and Methods  Our series consisted of 32 fractures in 31 patients, mean age 63.9 years, including 16 men and 15 women. MIPO technique was used in 15 wrists (group 1) and conventional approach (> 60 mm of skin incision) in 17 wrists (group 2)...
August 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28725496/volar-distal-radius-anatomy-applied-to-the-treatment-of-distal-radius-fracture
#3
Junya Imatani, Keiichi Akita
Volar locking plate (VLP) fixation has become the standard surgical treatment for distal radius fractures. However, flexor tendon rupture is one of the major complications following volar plating. This detailed review on the anatomy and morphology of the volar distal radius might facilitate appropriate placement of the volar plate and thereby avoid flexor tendon rupture. We introduce safe and secure VLP fixation along standard surgical procedures to avoid complications based on anatomy of the volar surface of the distal radius...
August 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28707132/comparison-of-lateral-and-skyline-fluoroscopic-views-for-detection-of-prominent-screws-in-distal-radius-fractures-plating-results-of-an-ultrasonographic-study
#4
Olivier Herisson, Caroline Delaroche, Sandrine Maillot-Roy, Alain Sautet, Levon Doursounian, Adeline Cambon-Binder
INTRODUCTION: Extensor tendon rupture is a recognized complication of volar plate fixation of distal radius fractures due to screws protruding past the dorsal cortex. The aim of this study was to compare the Skyline view with traditional lateral fluoroscopic views using ultrasonography as a reference standard in the postoperative assessment. MATERIALS AND METHODS: A monocentric prospective study was conducted to identify screws penetrating the dorsal cortex after volar plating of distal radius fractures...
July 13, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28705590/comparative-study-of-type-b-distal-radius-fractures-with-and-without-lunate-facet-involvement-treated-by-volar-locking-plate-an-observational-study
#5
Xiong Zhang, Yan Zhao, Chunhe Hu, Kunlun Yu, Jiangbo Bai, Dehu Tian, Yi Xu, Bing Zhang
PURPOSE: This study aimed to evaluate the results of volar locking plate for treatment of type B distal radius fractures involving the lunate facet and compare them with those without involvement in lunate facet. METHOD: s: This was a retrospective study. A total of 93 patients with type B distal radius were treated by single volar locking plate between January 2014 and December 2015. Preoperative digital radiographs were used to initially diagnose and further classify this injury according to AO/OTA classification system...
July 10, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28702384/prwe-application-in-distal-radius-fracture-comparison-and-correlation-with-established-outcomes
#6
Vinícius Ferreira Paranaíba, João Baptista Gomes Dos Santos, Jorge Raduan Neto, Vinícius Ynoe Moraes, João Carlos Belotti, Flávio Faloppa
OBJECTIVE: The study aimed to evaluate the correlation between the PRWE score with other measurements that are already widely used. METHODS: This was a prospective, cross-sectional, single-center study. Sixty-eight consecutive patients underwent surgical treatment for distal radius fractures (internal fixation by locked volar plate or transarticular external fixation). They were evaluated independently by PRWE, DASH, VAS range of motion, strength, and radiographic criteria, in one year of follow up...
May 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28697088/intraarticular-distal-radius-fracture-open-reduction-internal-fixation
#7
Jason A Nydick, Benjamin D Streufert, Jeffrey D Stone
PURPOSE: Intraarticular distal radius fractures are often treated with open reduction and internal fixation (ORIF) through a volar approach. This common approach, however, is technically demanding to restore the articular surface of the radiocarpal joint while respecting soft tissue integrity. The purpose of this video is to demonstrate the surgical technique of volar plate fixation of an intraarticular distal radius fracture. METHODS: A 32-year-old patient who sustained multiple injuries including an intraarticular distal radius fracture was treated with ORIF by a volar approach...
August 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28697086/use-of-volar-plate-for-indirect-coronal-plane-reduction-in-an-intraarticular-distal-radius-fracture
#8
Rebecca Senehi, Tyani D Luo, Alejandro Marquez-Lara, Arun Aneja, Hoyt R Beard, Eben A Carroll
Management of intraarticular distal radius fractures requires precise reconstruction of the articular surface to optimize outcomes. Treatment goals also include restoration of alignment, rotation, and angulation in both the coronal and sagittal planes of the metaphyseal component of these fractures. Surgical management with open reduction and internal fixation with a volar plate is often the preferred method of open treatment. However, a variety of different techniques have been described, and the preferred technique may be determined on an individual basis by the fracture characteristics, patient-dependent factors, or surgeon experience...
August 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28691543/volar-locking-plate-fixations-for-displaced-distal-radius-fractures-an-evaluation-of-complications-and-radiographic-outcomes
#9
James Wilson, Jeremy J Viner, Kavan S Johal, Michael J Woodruff
BACKGROUND: A volar locking plate (VLP) is the most frequently used form of implant used for open reduction and internal fixation of distal radius fractures. They are known to have a complication rate of up to 27%. We hypothesized that plate design could influence complication rates. METHODS: We performed a review of patients undergoing VLP fixation for distal radius fracture. A total of 228 patients underwent fixation with the Distal Volar Radial Anatomical (DVR) plate; 388 patients underwent fixation with the VariAx plate...
July 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28676150/volar-radioscapholunate-arthrodesis-and-distal-scaphoidectomy-after-malunited-distal-radius-fractures
#10
Stefan Quadlbauer, Martin Leixnering, Josef Jurkowitsch, Thomas Hausner, Christoph Pezzei
PURPOSE: The purpose of this study was to assess range of motion (ROM), pain, and incidence of radiographic degenerative joint disease (DJD) after volar radioscapholunate (RSL) arthrodesis and distal scaphoidectomy (DSE) following malunited distal radius fractures (DRF). METHODS: Fourteen patients with malunited DRF and DJD limited to the radiocarpal joint underwent RSL arthrodesis and DSE between 2006 and 2014. These were retrospectively analyzed both clinically and radiologically...
July 1, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28675976/post-osteomyelitic-acquired-radial-club-hand-deformity-in-children-treated-by-centralization-of-ulna
#11
Dinesh Kumar Meena
INTRODUCTION: Radial club hand deformity acquired post haematogenous osteomyelitis of radius bone is a very rare disease. Resulting in functional and cosmetic deficit of upper limb which is similar to congenital cases. For a long-time various surgeons attempted to reconstruct the deformity by bone grafting, plating, Ilizarov, monorail external fixator, callus distraction and so on. Keeping in mind that creating single bone forearm we proposed centralization of ulna on wrist to correct the deformity...
May 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28673629/treatment-of-intra-articular-distal-radius-fractures
#12
REVIEW
Shohei Omokawa, Yukio Abe, Junya Imatani, Hisao Moritomo, Daisuke Suzuki, Tadanobu Onishi
This review of current literature discusses the morphology of the volar aspect of the distal radius; the surgical procedure, arthroscopic findings, and clinical results of a plate presetting and arthroscopic reduction technique for acute intra-articular fractures; and a novel simulation guidance system for malunited intra-articular fractures. Classification of intra-articular distal radius fractures is also discussed, focusing on central depression fracture fragments, associated soft tissue injuries, and results for measuring scapholunate distances at different sites...
August 2017: Hand Clinics
https://www.readbyqxmd.com/read/28671904/a-sandwich-method-using-kapandji-intrafocal-pinning-to-facilitate-palmar-plating-of-displaced-distal-radius-fractures
#13
Hui-Kuang Huang, Yi-Chao Huang, Jung-Pan Wang, Ming-Chau Chang
The use of palmar plating in the treatment of dorsally displaced distal radius fracture is very common, and can result in a good functional outcome. We present an easy "sandwich method" to reduce the fracture and to facilitate osteosynthesis. Firstly, the dorsal Kapandji intrafocal wire was applied to achieve the reduction of the dorsally displaced fracture and provide a volar-directed force. Then the intra-articular fractures were reduced or the metaphyseal defect is stuffed with bone graft if necessary. Finally, the anatomical plate is used to buttress and push back the distal fragment to complete the osteosynthesis...
June 30, 2017: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/28648329/biomechanical-properties-of-3-dimensional-printed-volar-locking-distal-radius-plate-comparison-with-conventional-volar-locking-plate
#14
Sung-Jae Kim, Young-Hoon Jo, Wan-Sun Choi, Chang-Hun Lee, Bong-Gun Lee, Joo-Hak Kim, Kwang-Hyun Lee
PURPOSE: This study evaluated the biomechanical properties of a new volar locking plate made by 3-dimensional printing using titanium alloy powder and 2 conventional volar locking plates under static and dynamic loading conditions that were designed to replicate those seen during fracture healing and early postoperative rehabilitation. METHODS: For all plate designs, 12 fourth-generation synthetic composite radii were fitted with volar locking plates according to the manufacturers' technique after segmental osteotomy...
June 22, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28643518/mini-c-arm-fluoroscopy-does-its-configuration-matter-for-radiation-exposure-to-the-surgeon
#15
Talia Chapman, Dennis P Martin, Christopher Williamson, Brian Tinsley, Mark L Wang, Asif M Ilyas
BACKGROUND: The risk of occupational radiation exposure to the surgeon associated with the use of a mini C-arm has yet to reach a wide consensus. Using a distal radius fracture surgery model, we tested the hypothesis that radiation exposure to the surgeon's critical body parts is independent of mini C-arm configuration. METHODS: An anthropomorphic mannequin (representing the upper body of a 60" male surgeon) was seated at a hand table as if operating on a volar-plated wrist Sawbone model...
June 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28606437/the-effect-of-price-on-surgeons-choice-of-implants-a%C3%A2-randomized-controlled-survey
#16
Amy S Wasterlain, Eitan Melamed, Ricardo Bello, Raj Karia, John T Capo
PURPOSE: Surgical costs are under scrutiny and surgeons are being held increasingly responsible for cost containment. In some instances, implants are the largest component of total procedure cost, yet previous studies reveal that surgeons' knowledge of implant prices is poor. Our study aims to (1) understand drivers behind implant selection and (2) assess whether educating surgeons about implant costs affects implant selection. METHODS: We surveyed 226 orthopedic surgeons across 6 continents...
June 9, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28560033/comparison-of-outcome-of-vlcp-versus-pkef-in-the-treatment-of-ao-type-c2-3-distal-radial-fractures
#17
Zhibing Tang, Jinlian Liu, Huilin Yang
PURPOSES: Fractures of the distal radius are extremely common in adults. However, the optimal management remains controversial, especially in AO type C2-3 (Type23 C2 or C3 of distal radial fracture, according to AO classifications). The purpose of this study was to compare the results of the volar locking compression plate (VLCP) and percutaneous Kirschner-wires combined with external fixation (PKEF) in the treatment of the AO type C2-3 fractures. METHODS: From July 2012 to June 2015, 62 patients with AO type C2-3 fractures, treated by VLCP or PKEF, were included in this retrospective study...
June 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28552023/peri-implant-radial-and-ulnar-shaft-fractures-after-volar-locking-plate-fixation-of-the-distal-radius
#18
S Barrera-Ochoa, J H Nuñez, X Mir
No abstract text is available yet for this article.
May 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28526422/temporary-ipsilateral-stiff-shoulder-after-operative-fixation-of-distal-radial-fractures
#19
Soo Min Cha, Hyun Dae Shin, Sung Jin Hwang
BACKGROUND: This study was conducted to identify variables affecting the development of temporary stiff shoulder after operative fixation for distal radial fractures (DRF). MATERIALS AND METHODS: The study retrospectively analyzed 167 patients who had undergone internal fixation using volar locking plate for DRF between 2010 and 2013. Group 1 was denoted as the "normal group," and group 2 was denoted as the "stiff shoulder group." Basic demographic factors evaluated included age, sex, bone mineral density (BMD), and the dominancy...
June 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28512698/repair-of-the-pronator-quadratus-after-volar-plate-fixation-in-distal-radius-fractures-a-systematic-review
#20
REVIEW
Marjolein A M Mulders, Monique M J Walenkamp, Fernande J M E Bos, Niels W L Schep, J Carel Goslings
To position the volar plate on the distal radius fracture site, the pronator quadratus muscle needs to be detached from its distal and radial side and lifted for optimal exposure to the fracture site. Although the conventional approach involves repair of the pronator quadratus, controversy surrounds the merits of this repair. The purpose of this study was to compare the functional outcomes of patients with distal radius fractures treated with pronator quadratus repair after volar plate fixation versus no pronator quadratus repair...
May 17, 2017: Strategies in Trauma and Limb Reconstruction
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