OUTCOMES OF CLOSED UNSTABLE DISTAL RADIUS FRACTURES OPERATED AND FIXED WITH VARIABLE ANGLE LOCKING PLATE

2021 ◽  
pp. 81-83
Author(s):  
Rajesh Kapila ◽  
Kamal kumar arora ◽  
Utkarsha Utkarsha ◽  
Lokesh Chugh ◽  
Shweta Makker ◽  
...  
Keyword(s):  
Distal Radius ◽  
Functional Outcomes ◽  
Locking Plate ◽  
Styloid Process ◽  
Distal Radius Fractures ◽  
Locking Plates ◽  
Radius Fractures ◽  
Variable Angle ◽  
Early Return ◽  
Distal Fracture

INTRODUCTION AND AIM: This study aims to evaluate the functional and radiological outcomes in unstable distal end radius fractures treated with variable angle locking plates. MATERIAL AND METHODS: We reviewed 20 unstable distal end radius fractures that were operated and xed with variable-angle locking plate. RESULTS: According to Green and O'Brien Score (Cooney's modication) , excellent results were reported in 70 %,while good results were present in 20% cases, fair results were seen in 10% cases. CONCLUSION: The use of variable angle locking plates (VALP) in treating unstable distal end radius fractures is associated with excellent to good functional outcomes with minimal complications. VALP allows subchondral purchase in the articular fragments due to the exibility in the implant as far as plate positioning (that can be placed even beyond watershed line for very distal radius fractures) and as far as screw positioning in different directions (that can hold various distal fracture fragments as well as styloid process fracture). By this way, VALP helps in maintaining the reduction and predictably yields better functional outcome especially in unstable distal end radius fractures with early return to pre-injury occupation.

Volar versus dorsal latest-generation variable-angle locking plates for the fixation of AO type 23C 2.1 distal radius fractures: A biomechanical study in cadavers

Injury ◽  
2013 ◽  
Vol 44 (4) ◽  
pp. 523-526 ◽  
Author(s):  
Sascha Rausch ◽  
Olaf Schlonski ◽  
Kajetan Klos ◽  
Florian Gras ◽  
Boyko Gueorguiev ◽  
...  
Keyword(s):  
Distal Radius ◽  
Biomechanical Study ◽  
Distal Radius Fractures ◽  
Locking Plates ◽  
Radius Fractures ◽  
Variable Angle

Screw prominences related to palmar locking plating of distal radius

2011 ◽  
Vol 36 (4) ◽  
pp. 320-324 ◽  
Author(s):  
T. S. Sügün ◽  
N. Karabay ◽  
Y. Gürbüz ◽  
K. Özaksar ◽  
T. Toros ◽  
...  
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Locking Plates ◽  
Dorsal Cortex ◽  
Radius Fractures ◽  
Early Return ◽  
First Extensor Compartment ◽  
Comminuted Fractures ◽  
Standard Radiographs ◽  
Stable Reduction

Fixation of unstable distal radius fractures with palmar locking plates provides a stable reduction and early return of function, but complications arising from unrecognized dorsally prominent screws penetrating the extensor compartments are increasingly reported. Standard radiographs and fluoroscopy may not adequately visualize screw lengths, owing to the complex shape of the dorsum of the distal radius. We examined 46 distal radius fractures treated with palmar locking plates by ultrasound. Of the total 230 locking screws, 59 protruded from the dorsal cortical surface by 0.5 mm or more (range 0.5–6.1 mm). The first extensor compartment was violated by one screw, the second compartment by 22 screws, the third compartment by 15 screws, and the fourth compartment by 21 screws. Asymptomatic tenosynovitis was detected in four and symptomatic tenosynovitis in 14 of the 59 prominent screws. Ultrasound imaging may be useful in cases where intra-articular and/or comminuted fractures require distal plate placement and engagement of screws in the dorsal cortex.

scholarly journals Saving Tendons on Distal Radius Fractures: A Simple Surgical Pearl to Prevent FPL Tendon Conflict with Volar Locking Plates

2016 ◽  
Vol 06 (03) ◽  
pp. 248-250 ◽  
Author(s):  
Gustavo Ruggiero
Keyword(s):  
Soft Tissue ◽  
Surgical Technique ◽  
Distal Radius ◽  
Locking Plate ◽  
Distal Radius Fractures ◽  
Locking Plates ◽  
Volar Locking Plate ◽  
Flexor Pollicis Longus ◽  
Radius Fractures ◽  
Tissue Protection

AbstractInjury 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.

scholarly journals 173 Early Results of a Variable-Angle Volar Locking Plate for Distal Radius Fractures: A Bi-Centre Study

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
S Elerian ◽  
T Singh ◽  
N A Jagodzinski ◽  
R Norris ◽  
S Tan ◽  
...  
Keyword(s):  
Grip Strength ◽  
Distal Radius ◽  
Locking Plate ◽  
Distal Radius Fractures ◽  
Dash Score ◽  
Radius Fractures ◽  
Centre Study ◽  
Articular Fractures ◽  
Variable Angle ◽  
Flexion Extension

Abstract Introduction This study examines the clinical, functional and radiological outcomes of distal radius fracture fixation with the Aptus® (Medartis, Pennsylvania) locking plate in order to determine its efficacy and to identify notable findings related to treatment variations. Method This is a retrospective bi-centre study collecting patient details from a District General Hospital and a Regional Hand Unit. We assessed 61 consecutive patients with distal radius fractures (AO grade A = 19, B = 9, C = 33) fixed using Aptus® plate with a minimum of six months follow-up. Outcome measures included the DASH score, wrist range of movement and grip strength, and complications. Radiographs were reviewed to assess restoration of anatomy and union. Results All but two fractures united within six weeks. Mean ranges of movement were only mildly restricted compared to the normal wrist (flexion/extension = 102°; radial/ulna deviation = 53°; pronation/supination = 169°). Mean postoperative grip strength was 23.8kg which was comparable to the contralateral side at 31.5kg. The mean DASH score was 18.2. Seven patients had screws misplaced outside the distal radius although three of these remained asymptomatic. Conclusions Variable-angle locking systems benefit from flexibility of implant positioning and may allow enhanced inter-fragmentary reduction for accurate fixation of intra-articular fractures.

scholarly journals Functional outcome of volar locking plate for unstable distal radius fractures

2018 ◽  
Vol 8 (3) ◽  
pp. 38-44
Author(s):  
Bishnu Dev Sharma ◽  
Akesh Prajapati ◽  
Ananda Prasad Regmi ◽  
Jyoti Sitaula ◽  
Sujit Shrestha ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Distal Radius ◽  
Locking Plate ◽  
Distal Radius Fractures ◽  
Locking Plates ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
Medical College ◽  
Loss Of Reduction ◽  
One Year

Introduction: Distal radius fractures are the most common fractures in elderly. Unstable fractures are best managed surgically and the results of volar locking plates have been promising. The purpose of this study is to determine the functional outcome of volar locking plates in the treatment of unstable distal radius fractures. Methods: Forty-five patients with 46 unstable distal radius fractures were enrolled for this study, conducted at Chitwan Medical College from September 2016 to April 2017. All patients were treated with a 3.5mm titanium volar locking plate and followed-up for a minimum of one year. The assessment was done using radiological evaluation and Cooney modification of the Green and O’Brien scoring system. Results: Twenty-three men and 22 women with age ranging from 15-75 years (mean 43.22 years) were followed-up for an average of 16.53 months. There were 17 type A fractures (5 A2, 12 A3), 11 type B fractures (3 B1, 1 B2, 7 B3), and 18 type C fractures (4 C1, 12 C2, 2 C3) (AO classification). The mean time for union was 7.96 weeks. Functional outcome using modified Green and O’Brien Score was 20 excellent, 15 good, 7 fair and 4 poor results (76.1% good to excellent results). The overall complication rate was 15.22%. Conclusion: Volar locking plates provide adequate fixation for unstable distal radius fractures with minimal loss of reduction and satisfactory functional outcome.

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