[Angularly Stable Radius Plate: Progress in Treatment of Problematic Distal Radius Fracture?]

Overview

Journal Chirurg

Specialty General Surgery

Date 2003 Nov 8

PMID 14605726

Citations 10

Authors

K-H Thielke

T Wagner

S Bartsch

V Echtermeyer

Affiliations

Soon will be listed here.

Abstract

Fractures of the distal radius represent one of the most common fractures and have high socioeconomic relevance. Using the volar approach to avoid the soft tissue problems associated with dorsal plating, we treated a consecutive series of 49 displaced intra-articular distal radius fractures with a new fixed-angle internal fixation device. According to the AO classification, there were 21 C1, 19 C2, and nine C3 fractures. A retrospective study was carried out to obtain the functional results after open reduction and plate osteosynthesis. Loss of correction between postoperative and follow-up radiography was 1 degrees in volar tilt and radial inclination. The radial shortening was 1 mm. Wrist motion at final follow-up examination had recovered to an average of 80% of that at the normal, contralateral site. Overall outcome according to the Gartland and Werley scales showed 35% excellent, 50% good, and 15% fair results. Using the Martini score, we obtained 85% excellent and good results. The DASH score represented high subjective satisfaction.

Citing Articles

Two peg spade plate for distal radius fractures: A novel technique.

Hardikar S, Prakash S, Hardikar M, Kumar R Indian J Orthop. 2015; 49(5):536-41.

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[Volar locking plating for distal radial fractures. Is osteoporosis associated with poorer functional results and higher complications rates?].

Voigt C, Plesz A, Jensen G, Katthagen C, Lill H Chirurg. 2011; 83(5):463-71.

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Internal versus external fixation for unstable distal radius fractures: an up-to-date meta-analysis.

Cui Z, Pan J, Yu B, Zhang K, Xiong X Int Orthop. 2011; 35(9):1333-41.

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[Early results after palmar multi-axial plate osteosynthesis for treatment of distal radius fractures].

Geyer T, Hefele K, Gulke J, Gebhard F, Mentzel M Unfallchirurg. 2010; 114(10):901-12.

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[Unidirectional versus multidirectional palmar locking osteosynthesis of unstable distal radius fractures: comparative analysis with LDR 2.4 mm versus 2.7 mm matrix-Smartlock].

Hakimi M, Jungbluth P, Gehrmann S, Nowak J, Windolf J, Wild M Unfallchirurg. 2009; 113(3):210-6.

PMID: 19967335 DOI: 10.1007/s00113-009-1708-9.

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