keyword
https://read.qxmd.com/read/38213563/anatomic-risks-with-overpenetration-of-the-volar-locking-plates-proximal-holes
#21
JOURNAL ARTICLE
Daniel Y Hong, Jennifer A Kunes, Liana J Tedesco, Nicholas C Danford, Robert J Strauch
Background  Volar locking plate fixation (VLP) is commonly used to treat distal radius fractures (DRF). Risk of dorsal compartment injury with distal screw hole fixation has been studied; however, the risk with proximal screw hole fixation is not well studied. Purpose  The goal of this study was to investigate the risk of dorsal structure injury from the screw holes proximal to the two distal rows. Methods  Nine cadaveric forearms were used. After volar distal radius exposure, a long VLP was applied...
December 2023: Journal of Wrist Surgery
https://read.qxmd.com/read/38213557/the-use-of-montage-bone-putty-in-assisting-in-the-maintenance-of-reduction-in-comminuted-distal-radius-fractures
#22
JOURNAL ARTICLE
Irene J Pien, Nirbhay S Jain, Prosper Benhaim, Arezou Yaghoubian, Kodi K Azari
Background  The distal radius fracture is the most common fracture in the United States. Achieving stable reduction and fixation of complex fracture patterns can be challenging. In order to help maintain reduction of comminuted fracture to simplify plating, the calcium phosphate-based bone putty Montage has been developed. Questions/Purposes  Does Montage assist in achieving stable reduction and fixation of complex distal radius fractures with an acceptable complication profile? Patient and Methods  We retrospectively analyzed all patients who were treated intraoperatively with Montage bone putty along with volar plate fixation at a large-volume urban county hospital...
December 2023: Journal of Wrist Surgery
https://read.qxmd.com/read/38186455/locked-wire-fixator-for-a-distal-radius-fracture-with-malunion-a-case-report
#23
Marika Nunotani, Kiyohito Naito, Nana Nagura, So Kawakita, Muneaki Ishijima
Surgical treatment for a distal radius fracture using a volar locking plate is difficult if the distal radius malunion remains. Therefore, a different surgical method from volar locking plate fixation should be required. We report the case of an 83-year-old woman with a left dorsal displaced distal radius fracture. However, the deformity of the volar cortex of the radius was recognized because of a previous distal radius fracture. Therefore, osteosynthesis with a locked wire fixator was performed. At 12 months after surgery, the patient has returned to daily activities without difficulty...
December 2023: Curēus
https://read.qxmd.com/read/38137740/the-outcome-of-under-10-mm-single-incision-surgery-using-a-non-specialized-volar-plate-in-distal-radius-fractures-a-retrospective-comparative-study
#24
JOURNAL ARTICLE
Chang-Yu Huang, Chia-Che Lee, Chih-Wei Chen, Ming-Hsiao Hu, Kuan-Wen Wu, Ting-Ming Wang, Jyh-Horng Wang, Tzu-Hao Tseng
BACKGROUND: The distal radius fracture is a common orthopedic injury. We aimed to share the surgical steps and investigate the outcomes of treating distal radius fractures with wounds ≤10 mm using a globally accessible locking plate. METHODS: We collected 46 patients who underwent surgery via a <10 mm wound, with a control group consisting of 40 patients who underwent conventional procedures. Both groups were treated using the same volar plate. We compared the radiographic reduction quality, including volar tilt angle, radial inclination angle, and ulna variance...
December 14, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/38103596/study-of-the-position-of-six-volar-locking-plates-for-distal-radius-fracture-relative-to-the-watershed-line
#25
JOURNAL ARTICLE
Jean-Loup Tanner, Michaël Wang, Dominique Le Nen, Rémi Di Francia, Christophe Andro, Hoel Letissier
INTRODUCTION: Volar plate malpositioning in the treatment of distal radial fracture can lead to tendinitis or even tendon tear, especially when the plate position is very distal. We studied the impact of design on plate position in the distal radius. The primary aim was to compare the position of six volar wrist plates relative to the watershed line using the Soong classification. The secondary objectives were to assess the epidemiology of volar locking plate fixation within the administrative Département of Finistère (northwestern France) and to study whether the type of fracture played a role in plate position...
December 14, 2023: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/38078355/soong-classification-using-radiographs-only-moderately-correlates-with-distal-radius-plate-position-on-computed-tomography
#26
JOURNAL ARTICLE
Rachel E Cross, Yannick Albert J Hoftiezer, Justin C McCarty, Alberto Fernandez Dell'Oca, Aquiles Gavagnin, Rohit Garg, Jesse B Jupiter, Abhiram R Bhashyam
BACKGROUND: The Soong classification grades the prominence of volar locking plates used to treat distal radius fractures in relation to the volar rim. The basis of the classification scheme is that increasing plate prominence over the volar rim and distal radius watershed zone is associated with increased likelihood of flexor tendon irritation and need for plate removal. However, recent studies report mixed results on the predictive value of the Soong classification for these outcomes...
December 11, 2023: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38073409/volar-locking-plate-fixation-for-distal-radius-fractures-distal-to-the-watershed-line-with-an-intact-lunate-volar-rim
#27
JOURNAL ARTICLE
Soo Min Cha, Hyun Dae Shin, Seung Won Kim
Background: We treated distal radius fractures (DRFs) beyond the watershed line without fracture of the lunate volar rim using a volar locking plate (VLP) and report the radiological and clinical outcomes at least 3 years after surgery. Methods: In 41 consecutive patients between January 2012 and August 2017, the fragment was composed of the radial styloid process (distal to the watershed line) and the lunate volar rim was intact. We evaluated demographic factors, radiological features and radiological/clinical outcomes at the final follow-up...
December 5, 2023: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38071283/association-between-imaging-parameter-changes-and-triangular-fibrocartilage-complex-injury-after-distal-radius-fractures
#28
JOURNAL ARTICLE
Chunye Tan, Zeyu Wang, Linwei Li
BACKGROUND: Triangular fibrocartilage complex (TFCC) injury is a frequent soft tissue injury that has been observed to accompany distal radius fractures (DRFs) with concomitant changes in radiologic parameters. The aim of this study was to investigate the relevance of distal radial radiologic parameters associated with DRF and traumatic TFCC injury. METHODS: A total of 172 patients with distal radius fractures who underwent X-ray, CT, and MRI before undergoing volar locking plate or external splint fixation between October 2021 and December 2022 were included in this study...
December 9, 2023: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38058971/relative-increase-in-distal-radius-exposure-with-extension-of-the-fcr-approach
#29
JOURNAL ARTICLE
Ian Mullikin, Jeffrey Allen Dela Cruz, Ramesh C Srinivasan, Suhail K Mithani, Wendy Novicoff, Abhinav Bobby Chhabra, Eloy Tabeayo Alvarez
OBJECTIVES: Major surgical approaches for volar plating of the distal radius include the standard flexor carpi radialis (FCR) approach, the extended FCR (eFCR) approach, and the extended FCR approach combined with radial-sided carpal tunnel release (eFCR+CTR). The purpose of this study was to determine which of these three surgical approaches offers the greatest exposure and visualization of the distal radius. METHODS: Sequential dissections were performed on each of 30 fresh frozen below elbow cadaveric samples in order to simulate the three surgical approaches for distal radius volar plating, starting with the standard FCR approach, advancing to eFCR, and finishing with eFCR+CTR...
2023: Archives of Bone and Joint Surgery
https://read.qxmd.com/read/38050192/predictive-factors-of-distal-radioulnar-joint-instability-after-surgical-treatment-of-distal-radius-fractures
#30
JOURNAL ARTICLE
Chenfei Li, Lingde Kong, Xuyang Shi, Zuzhuo Zhang, Jian Lu, Bing Zhang
Distal radioulnar joint (DRUJ) instability is a common postoperative complication of distal radius fractures, seriously impacting patients' quality of life. This study investigated its possible influencing factors to determine prognosis and to guide treatment better. We retrospectively included a series of patients with distal radius fractures that underwent volar locking plate fixation. Basic patient information and imaging parameters were collected. The incidence of DRUJ instability during follow-up was recorded, and factors associated with DRUJ instability were determined using univariate analysis and multifactorial logistic regression analysis...
December 1, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/38040195/immobilization-with-compression-bandage-vs-antebraquial-splint-in-distal-radius-fractures-operated-by-open-reduction-and-locking-plate-randomized-clinical-trial
#31
JOURNAL ARTICLE
J I Miró, A García Vaquero-Pina, A Sierras Cristiá, J I Duca, A García Bensi, G L Gómez Rodríguez, A Galán Novella, A Izquierdo Fernández
INTRODUCTION: Currently, there is a lack of prospective studies to unify criteria about type and time for postoperative immobilization in surgical distal radius fractures. The aim of this study is to compare functional and radiological results in two groups of distal radius fractures treated with internal fixation with locking plate, and immobilized with antebrachial splint or compression bandage for 3weeks. MATERIAL AND METHOD: A randomized clinical trial was carried out with two parallel groups with 3, 6, and 12weeks of follow-up...
November 29, 2023: Revista Española de Cirugía Ortopédica y Traumatología
https://read.qxmd.com/read/38031965/factors-influencing-study-outcomes-in-recent-literature-on-distal-radial-fracture-treatment
#32
JOURNAL ARTICLE
Ahmet Hamdi Akgülle, Dilara Uysal, Gülnaz Nural Bekiroğlu
UNLABELLED: The main tools used by an orthopaedic surgeon for managing distal radial fracture treatment are recent literature and treatment guidelines. The aim of the present study was to find which factors within the study design influence study outcomes the most. Trials in three major databases (PubMed, Scopus, Embase) comparing surgical and non-surgical treatment options for adolescent and adult distal radial fractures with their original data, between 2013 and 2021, were included...
November 30, 2023: Journal of Hand Surgery, European Volume
https://read.qxmd.com/read/38026840/ct-based-micromotion-analysis-after-locking-plate-fixation-of-ao-type-c-distal-radius-fractures
#33
JOURNAL ARTICLE
Eva Lundqvist, Henrik Olivecrona, Per Wretenberg, Marcus Sagerfors
BACKGROUND: Volar locking plate fixation (VLPF) is the most common method for operative fixation of distal radius fractures (DRF). The dorsal ulnar corner (DUC) can be difficult to stabilize as the fragment is small and not exposed when using the volar approach. The purpose of this study was to study fracture fragment migration after VLPF of AO type C DRF, using a volume registration technique of paired CT scans with special focus on the DUC fragment. MATERIALS AND METHODS: This pilot study included ten patients with AO type C DRF, all operated with VLPF...
December 2023: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38025608/osteocutaneous-radial-forearm-flap-harvest-technique-and-prophylactic-volar-locked-plating
#34
JOURNAL ARTICLE
Anthony E Capito, Brian K Hansen, Mark W Schmitt, Jadon H Beck, Brian A Cripe, Peter J Apel
BACKGROUND: The osteocutaneous radial forearm (OCRF) flap is a variation of the traditional radial forearm flap with incorporation of an anterolateral segment of corticocancellous bone of the radius, periosteum, and overlying skin. The OCRF flap is indicated in traumatic injuries or extirpation defects with segmental bone loss and is well suited to foot and ankle reconstruction due to its thin pliable skin. METHODS: In this single-center case series, a retrospective review was conducted to identify patients who underwent OCRF free flap for foot and ankle reconstruction that required harvest of more than 50% of the cross-sectional area of the radius with prophylactic volar locked plating of the donor site...
November 2023: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/38025351/surgical-treatment-of-distal-radius-fractures-complicated-by-concomitant-flexor-carpi-radialis-brevis-a-case-series-and-surgical-techniques
#35
JOURNAL ARTICLE
Takafumi Hosokawa, Tsuyoshi Tajika, Morimichi Suto, Hirotaka Chikuda
INTRODUCTION: The flexor carpi radialis brevis (FCRB) is a rare anatomical variation, with a reported prevalence ranging from 0.9% to 8.7%. Our previous report showed three cases of FCRB in distal radius fracture (DRF) and found that hypoplastic pronator quadratus (PQ) adjacent to the FCRB muscle made it difficult to cover a volar locking plate (VLP). As we subsequently experienced additional six FCRBs, we report on new findings and surgical tips. CASE REPORT: VLP fixation was performed on DRF with FCRB in nine limbs of eight patients...
November 2023: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/37994780/volar-intra-articular-extended-window-approach-for-intra-articular-distal-radius-fractures
#36
JOURNAL ARTICLE
Robin N Kamal, Pedro Bronenberg, Lauren M Shapiro
Distal radius fractures are one of the most common injuries seen globally with increasing use of use of volar plating for surgical treatment. Although it is common to directly visualize the articular surface for most other periarticular fractures, during volar plating of the distal radius the joint is typically not visualized. This is due to concern for carpal instability from disruption of the volar carpal ligaments. When direct visualization of the articular surface is deemed necessary, either to reduce articular fragments or to confirm the quality of reduction, current options include a separate dorsal arthrotomy or arthroscopic assistance...
November 23, 2023: Techniques in Hand & Upper Extremity Surgery
https://read.qxmd.com/read/37959267/current-management-and-volar-locking-plate-fixation-with-bone-cement-augmentation-for-elderly-distal-radius-fractures-an-updated-narrative-review
#37
REVIEW
Ting-Han Tai, Po-Jui Chu, Kuan-Yu Lu, Jeffrey J Wu, Chin-Chean Wong
Distal radius fractures (DRFs) are the most common among all kinds of fractures with an increase in incidence due to the rapidly expanded size of the elderly population in the past decades. Both non-surgical and surgical treatments can be applied for this common injury. Nowadays, more and more elderly patients with DRFs undergo surgical treatments to restore pre-injury activity levels faster. However, optimal treatment for geriatric DRFs is still debated, and careful evaluation and selection of patients are warranted considering clinical and functional outcomes, and complications following surgical treatments...
October 27, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37950656/percutaneous-elastic-dynamic-fixation-for-the-treatment-of-volar-displaced-distal-radius-fractures-a-solution-for-elderly-patients
#38
JOURNAL ARTICLE
Lorenzo Rocchi, Rocco De Vitis, Gianfranco Merendi, Camillo Fulchignoni, Silvia Pietramala, Giuseppe Taccardo
Aim The Epibloc elastic-dynamic fixation has been applied for many years at several hand surgery centres in Italy. This technique has been considered safe and reliable in the treatment of distal meta-epiphyseal fractures of the radius with dorsal displacement. The aim of this study was to evaluate an alternative use of this method in the treatment of volar displaced wrist fractures in cases where an internal fixation could not be recommended. Methods The procedure consisted of two flexible pins with a trocar tip and an external plate for locking fixation with compression...
February 1, 2024: Medicinski Glasnik
https://read.qxmd.com/read/37924540/treatment-and-outcome-of-ao-ota-type-c-distal-radius-fractures-12-199-fractures-from-the-swedish-fracture-register
#39
JOURNAL ARTICLE
Marcus Sagerfors, Hugo Jakobsson, Per Wretenberg, Ole Brus, Michael Möller
The aim of this study was to examine the epidemiology, treatment, and patient-reported outcome of AO/OTA type C distal radius fractures (DRF) using data from a large national fracture register. We used prospectively collected data from the Swedish Fracture Register covering all AO/OTA type C DRFs registered between April 2012 and December 2018. Data on fracture type, epidemiology, trauma-mechanism, and treatment had been recorded by the treating physician. Patients had been sent an outcome questionnaire including EQ-VAS, EQ-5D, and the SMFA at the time of injury and 12 months after...
June 2023: Acta Orthopaedica Belgica
https://read.qxmd.com/read/37885613/comparison-of-the-cast-and-volar-locking-plate-in-the-treatment-of-intra-articular-distal-radius-fractures-in-elderly-patients-over-75-years-of-age
#40
JOURNAL ARTICLE
Özgür Avci, Ali Sisman
BACKGROUND: We aimed to compare radiologically and clinically closed reduction circular casting (CRCC) and volar locking plate (VLP) treatment options in elderly patients over 75 years with intraarticular distal radius fracture (DRF). MATERIAL AND METHOD: Elderly patients aged ≥75 years with at least one year of follow-up from the clinic archive who underwent conservative (CRCC) and surgical (VLP) treatment for AO type C DRF were retrospectively included in the study...
October 2023: Journal of Clinical Orthopaedics and Trauma
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