Volar Plate Fixation Versus Plaster Immobilization in Acceptably Reduced Extra-Articular Distal Radial Fractures

2019 ◽  
Vol 101 (9) ◽  
pp. 787-796 ◽  
Author(s):  
Marjolein A.M. Mulders ◽  
Monique M.J. Walenkamp ◽  
Susan van Dieren ◽  
J. Carel Goslings ◽  
Niels W.L. Schep
Keyword(s):  
Plate Fixation ◽  
Volar Plate ◽  
Distal Radial Fractures ◽  
Volar Plate Fixation ◽  
Plaster Immobilization

Cost Analysis of Volar Plate Fixation Versus Plaster Cast Immobilization for Intra-Articular Distal Radial Fractures

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
C.A. Selles ◽  
M.A.M. Mulders ◽  
S. van Dieren ◽  
J.C. Goslings ◽  
N.W.L. Schep ◽  
...  
Keyword(s):  
Cost Analysis ◽  
Plate Fixation ◽  
Plaster Cast ◽  
Volar Plate ◽  
Cast Immobilization ◽  
Distal Radial Fractures ◽  
Volar Plate Fixation

Volar Plate Fixation Versus Cast Immobilization in Acceptably Reduced Intra-Articular Distal Radial Fractures

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
C.A. Selles ◽  
M.A.M. Mulders ◽  
J. Winkelhagen ◽  
P.V. van Eerten ◽  
J.C. Goslings ◽  
...  
Keyword(s):  
Plate Fixation ◽  
Volar Plate ◽  
Cast Immobilization ◽  
Distal Radial Fractures ◽  
Volar Plate Fixation

Risk factors for complications after volar plate fixation of distal radial fractures

2018 ◽  
Vol 44 (5) ◽  
pp. 456-461 ◽  
Author(s):  
Kai Sirniö ◽  
Tapio Flinkkilä ◽  
Marko Vähäkuopus ◽  
Antti Hurskainen ◽  
Pasi Ohtonen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Complication Rate ◽  
Plate Fixation ◽  
Volar Plate ◽  
Distal Radial Fractures ◽  
Level Of Evidence ◽  
Patient Age ◽  
Patient Âgé ◽  
Volar Plate Fixation ◽  
Low Volume

This study assessed risk factors for complications after volar plate fixation of distal radial fractures. An assessment of electronic patient records from 2008 to 2016 identified 867 patients with a total of 881 distal radial fractures who underwent volar plating in our hospital. A total of 132 complications after volar plate fixation of distal radial fractures were observed (complication rate 15%). Surgery performed by a low-volume surgeon and patient age less than 40 years were the most important risk factors for plate-related complications. In logistic regression analysis, operation performed by a low-volume surgeon and patient age less than 40 years were independent predictors of plate-related complications. Patient age less than 40 years and low-volume surgeon were also found to be independent risk factors for plate-related secondary operations. Surgical delay had no effect on the complication rate. Level of evidence: IV

Longitudinal recovery following distal radial fractures managed with volar plate fixation

2017 ◽  
Vol 99-B (12) ◽  
pp. 1665-1676 ◽  
Author(s):  
S. B. Stinton ◽  
P. L. Graham ◽  
N. A. Moloney ◽  
L. R. Maclachlan ◽  
D. W. Edgar ◽  
...  
Keyword(s):  
Plate Fixation ◽  
Volar Plate ◽  
Distal Radial Fractures ◽  
Volar Plate Fixation

Comparative Analysis of the Complication Profile following Palmar Plating versus External Fixation of Fractures of the Distal Radius

2011 ◽  
Vol 1 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Daniel A Wartinbee ◽  
Michael Miller ◽  
Jonathan Riboh
Keyword(s):  
Grip Strength ◽  
External Fixation ◽  
Distal Radius ◽  
Plate Fixation ◽  
Volar Plate ◽  
Complication Rates ◽  
Distal Radial Fractures ◽  
Fixation Group ◽  
Vas Scores ◽  
Volar Plate Fixation

ABSTRACT Background Much attention has been given recently to the complication profile of volar plate fixation of distal radial fractures. The purpose of this investigation was to compare complication rates among patients with distal radial fractures treated with volar plating versus those treated with external fixation. Methods Two parallel series of patients with comminuted intra-articular distal radius fractures were reviewed. 59 patients were treated with external fixation and 56 patients with volar plate fixation. Postoperative radiographs, range of motion, grip strength, DASH scores, and VAS pain questionnaires were analyzed, and complications were described. Results The external fixation group had a significantly higher overall complication rate (p = 0.021) than the volar plate fixation group. In the volar plate group, there were more tendon complications and median nerve pathology. Radial shortening was greater in the external fixation group when compared to the volar plate fixation group. DASH scores and VAS scores were significantly higher in the external fixation group. Clinically, the patients in the volar plate fixation group had significantly greater arcs of motion in pronation-supination (p < 0.0001) and flexion-extension (p = 0.002) with a trend towards better grip strength (p = 0.0062). Conclusions Volar plate fixation for fractures of the distal radius provides an overall decreased incidence of complications, significantly less radial shortening, and significantly greater postoperative wrist motion when compared to external fixation. Volar plate fixation is also associated with lower VAS scores when compared to external fixation as well as DASH scores that approach statistical significance. Level of evidence III (retrospective comparative study).

Early Initiation of Bisphosphonate Does Not Affect Healing and Outcomes of Volar Plate Fixation of Osteoporotic Distal Radial Fractures

2012 ◽  
Vol 94 (19) ◽  
pp. 1729-1736 ◽  
Author(s):  
Hyun Sik Gong ◽  
Cheol Ho Song ◽  
Young Ho Lee ◽  
Seung Hwan Rhee ◽  
Hyuk Jin Lee ◽  
...  
Keyword(s):  
Plate Fixation ◽  
Early Initiation ◽  
Volar Plate ◽  
Distal Radial Fractures ◽  
Volar Plate Fixation
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