Breakage of a volar locking plate after delayed union of a distal radius fracture.
نویسندگان
چکیده
This is a case report of a 58-year-old obese, diabetic female who sustained a dorsally angulated distal radius fracture, treated with a volar locking plate. Union was delayed and the plate broke. The fracture healed after repeated surgery involving replacement of the plate and grafting with demineralised bone matrix. Delayed unions of distal radius fractures are rare. This case shows that fracture treatment with locking compression plates has some specific biomechanical consequences which have to be taken into account, and special attention will be given to technical peculiarities and possible drawbacks.
منابع مشابه
Volar Locking Plate Breakage after Nonunion of a Distal Radius Osteotomy
We report a 38-year-old male with a nonunion followed by plate breakage after volar plating of a distal radius osteotomy. Volar locking plates have added a new approach to the treatment of distal radius malunions, due to a lower morbidity of the surgical approach and the strength of the final construction, allowing early mobilization and return to function. Conclusion. Plate breakage is an unco...
متن کاملCASE REPORT Union of an intra-articular distal radius fracture after successive failures of three locking plates: a case report
We report a case of a 30-year old male, who presented with a right distal radius intra-articular fracture complicated by compartment syndrome. He was treated with fasciotomies and fracture fixation with a 3.5 mm LCP (Synthes TM ), followed 7 days later by skin graft. Repeat radiographs 8 weeks later showed a break across the plate at the level of an unfilled screw hole over the fracture. He und...
متن کاملUnion of an intra-articular distal radius fracture after successive failures of three locking plates: a case report
We report a case of a 30-year old male, who presented with a right distal radius intra-articular fracture complicated by compartment syndrome. He was treated with fasciotomies and fracture fixation with a 3.5 mm LCP (Synthes(™)), followed 7 days later by skin graft. Repeat radiographs 8 weeks later showed a break across the plate at the level of an unfilled screw hole over the fracture. He unde...
متن کاملFailure of volar locking plate fixation of an extraarticular distal radius fracture: A case report
BACKGROUND Volar locking plates provide significant structural stability to the distal radius. Failure of a volar locked plating is a rarely reported complication in the literature. CASE PRESENTATION A 40 year-old, obese female patient who presented with a displaced extraarticular distal radius fracture, underwent open reduction and internal fixation of the fracture using a volar locking plat...
متن کاملMechanical failure of the distal radius volar locking plate.
PURPOSE To review 9 cases of mechanical failure of the volar locking plate for distal radial fractures. METHODS Records of 374 consecutive patients who underwent volar locking plating for distal radial fractures were reviewed. Mechanical failures of the volar locking plate were defined as plate breakage or bending, screw breakage or loosening, or collapse of articular fragments resulting in i...
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ورودعنوان ژورنال:
- Acta orthopaedica Belgica
دوره 73 6 شماره
صفحات -
تاریخ انتشار 2007