Complex fractures of the distal radius treated with angular stability plates
Tóm tắt
Complex fractures of the distal radius are articular lesions and comminuted at the level of the epiphysis and metaphysis. Their treatment is difficult and in most cases surgical. Of all the different osteosynthesis methods available, internal fixation with plate and screws is the most commonly used. In particular, angular stability plates are superior in terms of rigidity and stability to conventional volar and dorsal plates. DVR plate has these mechanical characteristics, and its low profile has reduced frictions with surrounding soft tissues. For these reasons, this device implanted through a single volar approach, can stabilize the majority of volarly and dorsally displaced unstable distal radius fractures. In this study, 48 patients, affected by complex fractures of the distal radius treated with DVR volar plates, were assessed by the Mayo modified wrist score, the Italian version of the disability of the arm, shoulder and hand. The satisfactory results observed confirm the efficacy of this device.
Tài liệu tham khảo
citation_journal_title=Injury Suppl; citation_title=Fracture of the distal radius: classification of treatment and indications for external fixation; citation_author=S Graff, J Jupiter; citation_volume=25; citation_issue=4; citation_publication_date=1994; citation_pages=D14-D25; citation_id=CR1
citation_title=The comprehensive classification of fractures of long bones; citation_publication_date=1990; citation_id=CR2; citation_author=ME Muller; citation_author=S Nazarian; citation_author=P Koch; citation_author=J Schatzker; citation_publisher=Springer
citation_journal_title=J Hand Surg Br; citation_title=Palmar plate fixation of AO TYPE C2 fracture of distal radius using a locking compression plate. A biomechanical study in a cadaveric model; citation_author=F Leung, L Zhu, H Ho, WW Lu, SP Chow; citation_volume=28; citation_publication_date=2003; citation_pages=263-266; citation_doi=10.1016/S0266-7681(03)00011-1; citation_id=CR3
citation_journal_title=J Bone Joint Surg Br; citation_title=Colles fracture: does the anatomical result affect the final function?; citation_author=M McQueen, J Caspers; citation_volume=70; citation_publication_date=1988; citation_pages=649-651; citation_id=CR4
citation_journal_title=Instr Course Lect; citation_title=Fractures of the distal radius: operative treatment; citation_author=DL Fernandez; citation_volume=42; citation_publication_date=1993; citation_pages=73-88; citation_id=CR5
citation_journal_title=J Bone Joint Surg Am; citation_title=Open reduction and internal fixation of displaced, comminuted intra-articular fractures of the distal end of the radius; citation_author=JK Bradway, PC Amadio, WP Cooney; citation_volume=71; citation_issue=6; citation_publication_date=1989; citation_pages=839-847; citation_id=CR6
citation_journal_title=J Hand Surg Am; citation_title=Severely comminuted distal radial fracture as an unsolved problem: complications associated with external fixation and pins and plaster techniques; citation_author=SC Weber, RM Szabo; citation_volume=11; citation_issue=2; citation_publication_date=1986; citation_pages=157-165; citation_id=CR7
citation_journal_title=J Hand Surg Am; citation_title=Open reduction and internal fixation of comminuted, intra-articular fractures of the distal radius; citation_author=TS Axelrod, RY McMurtry; citation_volume=15; citation_issue=1; citation_publication_date=1990; citation_pages=1-11; citation_doi=10.1016/S0363-5023(09)91097-8; citation_id=CR8
citation_journal_title=J Hand Surg Am; citation_title=Open reduction and internal fixation of unstable distal radius fractures; citation_author=PR Carter, HA Frederick, GF Laseter; citation_volume=22; citation_publication_date=1997; citation_pages=777-784; citation_doi=10.1016/S0363-5023(97)80069-X; citation_id=CR9
citation_journal_title=J Bone Joint Surg Br; citation_title=Fractures of the distal end of the radius treated by internal fixation and early function. A preliminary report of 20 cases; citation_author=DA Rikli, P Regazzoni; citation_volume=78; citation_publication_date=1996; citation_pages=588-592; citation_id=CR10
citation_journal_title=J Hand Surg Am; citation_title=Complications of the AO/ASIF titanium distal radius plate system (pi plate) in internal fixation of the distal radius: a brief report; citation_author=GK Kambouroglou, TS Axelrod; citation_volume=23; citation_publication_date=1998; citation_pages=737-741; citation_doi=10.1016/S0363-5023(98)80063-4; citation_id=CR11
citation_journal_title=J Bone Joint Surg Am; citation_title=Current concepts review: fractures of the distal end of the radius; citation_author=JB Jupiter; citation_volume=73; citation_publication_date=1991; citation_pages=461-469; citation_id=CR12
citation_journal_title=J Hand Surg Am; citation_title=Open reduction and internal fixation of unstable distal radius fractures; citation_author=D Ring, JB Jupiter, J Brennwald, U Büchler, H Hastings; citation_volume=22; citation_publication_date=1997; citation_pages=777-784; citation_id=CR13
citation_journal_title=J Hand Surg Am; citation_title=Comparison of different distal radius dorsal and volar fracture fixation plates: a biomechanical study; citation_author=D Osada, SF Viegas, MA Shah, RP Morris, RM Patterson; citation_volume=28; citation_publication_date=2003; citation_pages=94-104; citation_doi=10.1053/jhsu.2003.50016; citation_id=CR14
citation_journal_title=J Trauma; citation_title=A biomechanical comparison of two volar locked plates in a dorsally unstable distal radius fracture model; citation_author=FA Liporace, EN Kubiak, GK Jeong, EgolK Iesaka, KJ Koyal; citation_volume=61; citation_publication_date=2006; citation_pages=668-672; citation_doi=10.1097/01.ta.0000234727.51894.7d; citation_id=CR15
citation_journal_title=Clin Orthop Relat Res; citation_title=Current concepts in volar fixed-angle fixation of unstable distal radius fractures; citation_author=JL Orbay, A Touhami; citation_volume=445; citation_publication_date=2006; citation_pages=58-67; citation_id=CR16
citation_journal_title=Tech Hand Up Extrem Surg; citation_title=The extended flexor carpi radialis approach: a new perspective for the distal radius fracture; citation_author=JL Orbay, A Badia, IR Indriago, A Infante, RK Khouri, E Gonzalez, DL Fernandez; citation_volume=5; citation_issue=4; citation_publication_date=2001; citation_pages=204-211; citation_doi=10.1097/00130911-200112000-00004; citation_id=CR17
citation_journal_title=Tech Hand Up Extrem Surg; citation_title=Volar approach to dorsal displaced fractures of the distal radius; citation_author=MH Henry, SM Griggs, F Levaro, J Clifton, MV Masson; citation_volume=5; citation_publication_date=2001; citation_pages=31-41; citation_doi=10.1097/00130911-200103000-00005; citation_id=CR18
citation_journal_title=J Hand Surg Am; citation_title=Volar fixation for dorsally displaced fractures of the distal radius: a preliminary report; citation_author=JL Orbay, DL Fernandez; citation_volume=27; citation_issue=2; citation_publication_date=2002; citation_pages=205-215; citation_doi=10.1053/jhsu.2002.32081; citation_id=CR19
citation_journal_title=J Hand Surg Am; citation_title=Volar fixed-angle plate fixation for unstable distal radius fractures in the elderly patient; citation_author=JL Orbay, DL Fernandez; citation_volume=29; citation_issue=1; citation_publication_date=2004; citation_pages=96-102; citation_doi=10.1016/j.jhsa.2003.09.015; citation_id=CR20
citation_journal_title=Riv Chir Man; citation_title=Risultati nell’utilizzo delle placche DVR-A nel trattamento delle fratture instabili del radio distale; citation_author=G Rossi, F Sessa, M Ivaldi; citation_volume=1; citation_publication_date=2007; citation_pages=27-31; citation_id=CR21
citation_journal_title=GIOT; citation_title=The treatment of articular wrist fractures with hand innovation plate; citation_author=L Tarallo, R Adani, MG Amorico, A Spagni, A Salento; citation_volume=34; citation_publication_date=2008; citation_pages=53-57; citation_id=CR22
citation_journal_title=J Hand Surg Br; citation_title=Italian version of disability of the arm shoulder and hand (DASH) questionnaire. cross-cultural adaptation and validation; citation_author=R Padua, L Padua, E Ceccarelli, E Romanini, G Zanoli, PC Amadio, A Campi; citation_volume=28; citation_publication_date=2003; citation_pages=179-186; citation_doi=10.1016/S0266-7681(02)00303-0; citation_id=CR23
citation_journal_title=Clin Orthop; citation_title=Difficult wrist fractures. Perilunate fracture-dislocation of the wrist; citation_author=WP Cooney, R Bussey, JH Dobyns, RL Linscheid; citation_volume=214; citation_publication_date=1987; citation_pages=136-147; citation_id=CR24
citation_journal_title=J Hand Surg Am; citation_title=Scaphoid malunion; citation_author=PC Amadio, TH Berquist, DK Smith, DM Ilstrup, WP Cooney, RL Linscheid; citation_volume=14; citation_issue=4; citation_publication_date=1989; citation_pages=679-687; citation_doi=10.1016/0363-5023(89)90191-3; citation_id=CR25
American Society of Hand Therapists (ASHT) (1992) Clinical assessment recommendations, 2nd edn. Chicago
citation_journal_title=Acta Orthop Scand Suppl; citation_title=Fractures of the distal end of the radius. A clinical and statistical study of end results; citation_author=A Lidström; citation_volume=41; citation_publication_date=1959; citation_pages=1-118; citation_id=CR27
citation_journal_title=Arch Orthop Trauma Surg; citation_title=An X-ray template assessment for distal radial fractures; citation_author=PV Eerten, R Lindeboom, AE Oosterkamp, JC Goslings; citation_volume=128; citation_publication_date=2008; citation_pages=217-221; citation_doi=10.1007/s00402-007-0391-y; citation_id=CR28
citation_journal_title=J Hand Surg Am; citation_title=Triangular fibrocartilage complex lesions: a classification; citation_author=AK Palmer; citation_volume=14; citation_publication_date=1989; citation_pages=594-606; citation_doi=10.1016/0363-5023(89)90174-3; citation_id=CR29
citation_journal_title=J Bone Joint Surg Am; citation_title=Intracarpal soft tissue lesions associated with an intraarticular fracture of the distal end of the radius; citation_author=WB Geissler, AE Freeland, FH Savoie; citation_volume=78; citation_publication_date=1996; citation_pages=357-365; citation_id=CR30
citation_journal_title=Ann Chir Main Memb Super; citation_title=A new surgical technique for carpal instability with scapho-lunate dislocation; citation_author=GA Brunelli, GR Brunelli; citation_volume=14; citation_publication_date=1995; citation_pages=207-213; citation_doi=10.1016/S0753-9053(05)80415-6; citation_id=CR31
citation_journal_title=J Hand Surg Am; citation_title=Three-ligament tenodesis for the treatment of scapholunate dissociation: indications and surgical technique; citation_author=M Garcia-Elias, AL Lluch, JK Stanley; citation_volume=31; citation_issue=1; citation_publication_date=2006; citation_pages=125-134; citation_doi=10.1016/j.jhsa.2005.10.011; citation_id=CR32
citation_journal_title=Edinburgh Med Surg; citation_title=On fracture of the carpal extremity of the radius; citation_author=A Colles; citation_volume=10; citation_publication_date=1814; citation_pages=182-186; citation_id=CR33
citation_journal_title=J Hand Surg Am; citation_title=Relative tension and potential excursion of muscles in the forearm and hand; citation_author=PW Brand, RB Beach, DE Thompson; citation_volume=6; citation_issue=3; citation_publication_date=1981; citation_pages=209-219; citation_id=CR34
citation_journal_title=Clin Orthop Relat Res; citation_title=External fixation of distal radial fractures; citation_author=WP Cooney; citation_volume=180; citation_publication_date=1983; citation_pages=44-49; citation_id=CR35
citation_journal_title=J Hand Surg Am; citation_title=Augmented external fixation of unstable distal radius fractures; citation_author=WH Seitz, AI Froimson, R Leb, JD Shapiro; citation_volume=16; citation_publication_date=1991; citation_pages=1010-1016; citation_id=CR36
citation_journal_title=J Hand Surg Am; citation_title=External fixation of distal radial fractures: results and complications; citation_author=RA Sanders, FL Keppel, JI Waldrop; citation_volume=16; citation_publication_date=1991; citation_pages=385-391; citation_doi=10.1016/0363-5023(91)90002-S; citation_id=CR37
citation_journal_title=J Hand Surg Am; citation_title=Volar fixed-angle plating of distal radius extension fractures: influence of plate position on secondary loss of reduction: a biomechanic study in a cadaveric model; citation_author=H Drobetz, AL Bryant, T Pokorny, R Spitaler, M Leixnering, JB Jupiter; citation_volume=31; citation_issue=4; citation_publication_date=2006; citation_pages=615-622; citation_doi=10.1016/j.jhsa.2006.01.011; citation_id=CR38
citation_journal_title=Knee Surg Sports Traumatol Arthrosc; citation_title=Wrist arthroscopy and intra-articular fractures of the distal radius in young adults; citation_author=P Hardy, N Gomes, M Chebil, T Bauer; citation_volume=14; citation_publication_date=2006; citation_pages=1225-1230; citation_doi=10.1007/s00167-006-0123-9; citation_id=CR39
citation_journal_title=Arthroscopy; citation_title=Arthroscopic reduction versus fluoroscopic reduction in the management of intra-articular distal radius fractures; citation_author=DS Ruch, J Vallee, GG Poehling, BP Smith, GR Kuzma; citation_volume=20; citation_issue=3; citation_publication_date=2004; citation_pages=225-230; citation_doi=10.1016/j.arthro.2004.01.010; citation_id=CR40
citation_journal_title=J Bone Joint Surg Br; citation_title=Anatomical reduction of intra-articular fractures of the distal radius; citation_author=JA Metha, GI Bain, RJ Heptinstall; citation_volume=82; citation_publication_date=200; citation_pages=79-86; citation_id=CR41
citation_journal_title=J Bone Joint Surg Am; citation_title=Intra-articular fractures of the distal aspect of the radius: arthroscopically assisted reduction compared with open reduction and internal fixation; citation_author=K Doi, Y Hattori, K Otsuka, Y Abe, H Yamamoto; citation_volume=81; citation_publication_date=1999; citation_pages=1093-1110; citation_id=CR42
citation_journal_title=Hand Surg; citation_title=Palmar plating for AO ASIF C3.2 fractures of the distal radius with arthroscopically assisted reduction; citation_author=M Kamano, M Koshimune, K Kazuki, Y Honda; citation_volume=10; citation_issue=1; citation_publication_date=2005; citation_pages=71-76; citation_doi=10.1142/S0218810405002590; citation_id=CR43
citation_journal_title=J Hand Surg Am; citation_title=Treatment of displaced articular fractures of the radius; citation_author=DL Fernandez, WB Geissler; citation_volume=16; citation_publication_date=1991; citation_pages=375-384; citation_doi=10.1016/0363-5023(91)90001-R; citation_id=CR44
citation_journal_title=J Bone Joint Surg Am; citation_title=Intraarticular fractures of the distal end of the radius in young adults; citation_author=JL Knirk, JB Jupiter; citation_volume=68; citation_publication_date=1986; citation_pages=647-658; citation_id=CR45
citation_journal_title=J Hand Surg Am; citation_title=Intraarticular distal radius fractures: arthroscopic assessment of radiographically assisted reduction; citation_author=CC Edwards, J Harasztic, GR McGillivary, AP Gutow; citation_volume=26; citation_publication_date=2001; citation_pages=1036-1041; citation_doi=10.1053/jhsu.2001.28760; citation_id=CR46
citation_journal_title=J Hand Surg Am; citation_title=Arthroscopic diagnosis of intra-articular soft tissue injuries associated with distal radial fractures; citation_author=RS Richards, JD Bennett, JH Roth, K Milne; citation_volume=22; citation_issue=5; citation_publication_date=1997; citation_pages=772-776; citation_doi=10.1016/S0363-5023(97)80068-8; citation_id=CR47
citation_journal_title=Rev Chir Orthop Reparatrice Appar Mot; citation_title=Controle arthroscopique dans le traitement de fractures articulaires du radius distal: a propos d’une serie de 16 cas; citation_author=JM Cognet, F Bonnomet, M Ehlinger, C Dujardin, JF Kempf, P Simon; citation_volume=89; citation_issue=6; citation_publication_date=2003; citation_pages=515-523; citation_id=CR48
citation_journal_title=Chir Main; citation_title=Interet de l’arthroscopie du poignet dans le traitement de fractures articulaires du ¼ inferieur du radius: a propos de 27 cas; citation_author=C Mathoulin, A Sbihi, P Panciera; citation_volume=20; citation_issue=5; citation_publication_date=2001; citation_pages=342-350; citation_doi=10.1016/S1297-3203(01)00057-9; citation_id=CR49
citation_journal_title=J Trauma; citation_title=Arthroscopically assisted osteosynthesis of complex intra-articular fractures of the distal radius; citation_author=AC Chen, YS Chan, LJ Yuan, WL Ye, MS Lee, EK Chao; citation_volume=53; citation_issue=2; citation_publication_date=2002; citation_pages=354-359; citation_doi=10.1097/00005373-200208000-00028; citation_id=CR50
citation_journal_title=Hand Surg; citation_title=Arthroscopically-assisted reduction of intra-articular fractures and soft tissue management of distal radius; citation_author=JT Shih, HM Lee, YT Hou, CM Tan; citation_volume=6; citation_issue=2; citation_publication_date=2001; citation_pages=127-135; citation_doi=10.1142/S021881040100059X; citation_id=CR51