scholarly journals Open Reduction & Internal Fixation of a Distal Radius Fracture with a Volar Locking Plate: A Case Report

2021 ◽  
pp. 37-40
Author(s):  
P. M. Mervinrosario ◽  
Vijay Narasimman Reddy ◽  
Aravind Ravichandran
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Open Reduction ◽  
Locking Plate ◽  
Radius Fracture ◽  
Treatment Modalities ◽  
Locking Plates ◽  
Volar Locking Plate

The present case report describe Open Reduction & Internal Fixation of a Distal Radius Fracture With a Volar Locking Plate. Anatomical reduction & stable fixation of fracture with or without bone grafting, greatly reduces the incidence of post-traumatic osteoarthritis & stiffness. The accuracy of fracture reduction co- relates directly to the final outcome. A 34-year-old man fell on his right outstretched h&. He presented to the casuality & on physical examination, he was noted to have deformity about his right wrist with moderate swelling. There was no neuro-vascular deficit. Various treatment modalities have been developed for distal radius fracture fixation. Treatment options range from closed reduction & cast application to open reduction with plates & screws. Locking plates address intra-articular & metaphyseal comminution. Biomechanical studies comparing volar fixed- angle locking plates with that of conventional dorsal plates report volar fixed-angled plates to be superior in terms of their strength.

Early Breakage of a Titanium Volar Locking Plate for Fixation of a Distal Radius Fracture: Case Report

2009 ◽  
Vol 34 (5) ◽  
pp. 907-909 ◽  
Author(s):  
Kiminori Yukata ◽  
Kazuteru Doi ◽  
Yasunori Hattori ◽  
Soutetsu Sakamoto
Keyword(s):  
Case Report ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Locking Plate ◽  
Radius Fracture ◽  
Volar Locking Plate

scholarly journals Polyaxial Locking Plate in Fractures of the Distal Radius

2020 ◽  
pp. 79-88
Author(s):  
Mostafa F. Mohamed ◽  
Ali M. Emran ◽  
Osama A. Selim ◽  
Mahmoud A. El Rosasy
Keyword(s):  
Internal Fixation ◽  
Distal Radius ◽  
Open Reduction ◽  
Locking Plate ◽  
Locking Plates ◽  
Volar Locking Plate ◽  
Radiological Assessment ◽  
Radius Fractures ◽  
The Mean

Introduction: Volar locking plate represents the gold standard method of treatment of unstable distal end radius fractures. Objectives: The Present study aimed to identify the functional and radiological outcomes of distal radius fractures treated by open reduction and internal fixation using polyaxial volar locking plate. Patients and Methods: We reviewed 25 unstable distal end radius fractures that were operated in Orthopedic Department in Tanta University Hospital with polyaxial volar locking plates June 2018 to June 2019. The mean age of the patients was 40.8±14.34 years (range 24 to 65) and the mean duration of follow-up was 8.61 ± 3.19 months (range 6 to 17). All of the patients underwent open reduction and internal fixation with polyaxial locking plate through over flexor carpi radialis approach. After three months, pain, tendon functions, ROM, hand grip as well as radial median and ulnar nerves functions were well assessed. X-rays were done to assure full fracture consolidation. At the end of follow up, clinical results were evaluated according to Quick DASH Score. Castaign radiological assessment score was used for radiological evaluation. Results: There was a significant improvement in the functional indices from twelve weeks to the final follow-up. According to Castaign radiological assessment score 10 patients (40%) had excellent results, 14 patients (56%) had good results and 1 patient (4%) had fair results, no patients had poor results at the final follow up. Compared the performance of the polyaxial locking plate to another monoaxial plate and reported an improved range of radial and ulnar deviation with the variable angle device but they use another plate system. Conclusions: The use of polyaxial locking plates in treating unstable distal end radius fractures is associated with excellent to good functional results with minimal complications.

scholarly journals Absence of Flexor Carpi Radialis Identified During Volar Approach for Fixation of Distal Radius Fracture: A Case Report

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Dharmesh Patel ◽  
Rajeev Vohra ◽  
Avtar Singh
Keyword(s):  
Case Report ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Locking Plate ◽  
Radius Fracture ◽  
Distal Forearm ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
Volar Approach ◽  
Flexor Carpi Radialis

Introduction: Volar locking plate fixation of distal radius fractures is commonly performed because of its good clinical outcomes. The flexor carpi radialis (FCR) approach is one of the most popular approaches to dissecting the volar side of the distal radius because of its simplicity and safety. We describe an extremely rare case of an absent FCR identified during a volar approach for fixation of a distal radius fracture. Case Report: A 40-year-old male with comminuted distal radius fracture underwent surgery using the usual FCR approach and volar locking plate. We could not identify the absence of the FCR tendon preoperatively because of severe swelling of the distal forearm. At first, we wrongly identified the palmaris longus (PL) tendon as the FCR because it was the tendinous structure at the most radial location of the volar distal forearm. When we found the median nerve just radial to the PL tendon, we were then able to identify the anatomical abnormality in this case. To avoid iatrogenic neurovascular injuries, we changed the approach to the classic Henry’s approach. Conclusion: Although the FCR approach is commonly used for fixation of distal radius fractures because of its simplicity and safety, this is the first report of complete absence of the FCR during the commonly performed volar approach for fixation of a distal radius fracture, to our knowledge. Because the FCR is designated as a favorable landmark because of its superficially palpable location, strong and thick structure, and rare anatomical variations, there is the possibility of iatrogenic complications in cases of the absence of the FCR. We suggest that surgeons should have a detailed knowledge of the range of possible anomalies to complete the fixation of a distal radius fracture safely. Keywords: Flexor carpi radialis, Anomaly, Distal radius fracture, Volar approach, Flexor carpi radialis approach.

Surgical Technique of Corrective Osteotomy for Malunited Distal Radius Fracture Using the Computer-Simulated Patient Matched Instrument

2016 ◽  
Vol 21 (02) ◽  
pp. 133-139 ◽  
Author(s):  
Tsuyoshi Murase
Keyword(s):  
Bone Graft ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Locking Plate ◽  
Corrective Osteotomy ◽  
Extensor Tendon ◽  
Radius Fracture ◽  
Soft Tissue Release ◽  
Dorsal Plate ◽  
Volar Locking Plate

The conventional corrective osteotomy for malunited distal radius fracture that employs dorsal approach and insertion of a trapezoidal bone graft does not always lead to precise correction or result in a satisfactory surgical outcome. Corrective osteotomy using a volar locking plate has recently become an alternative technique. In addition, the use of patient-matched instrument (PMI) via computed tomography simulation has been developed and is expected to simplify surgical procedures and improve surgical precision. The use of PMI makes it possible to accurately position screw holes prior to the osteotomy and simultaneously perform the correction and place the volar locking plate once the osteotomy is completed. The bone graft does not necessarily require a precise block form, and the problem of the extensor tendon contacting the dorsal plate is avoided. Although PMI placement and soft tissue release technique require some degree of specialized skill, they comprise a very useful surgical procedure. On the other hand, because patients with osteoporosis are at risk of peri-implant fracture, tandem ulnar shortening surgery should be considered to avoid excessive lengthening of the radius.

Comparison of immobilization periods following open reduction and internal fixation of distal radius fracture: A systematic review and meta-analysis

2021 ◽  
Author(s):  
Abdullah A. Ghaddaf ◽  
Ahmed S. Abdulhamid ◽  
Mohammed S. Alomari ◽  
Mohammed S. Alquhaibi ◽  
Abdulaziz A. Alshehri ◽  
...  
Keyword(s):  
Systematic Review ◽  
Internal Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Open Reduction ◽  
Meta Analysis ◽  
Radius Fracture

scholarly journals Clinical and Functional Outcome of Volar Locking Plate Fixation for Distal Radius Fracture

2009 ◽  
Vol 58 (2) ◽  
pp. 283-286 ◽  
Author(s):  
Shoichi Kuba ◽  
Itaru Furuichi ◽  
Masakazu Murata ◽  
Takeshi Miyaji ◽  
Noriaki Miyata ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Locking Plate ◽  
Plate Fixation ◽  
Radius Fracture ◽  
Volar Locking Plate ◽  
Locking Plate Fixation
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