Distal Radius Fractures: What Cannot Be Fixed With a Volar Plate?—The Role of Fragment-Specific Fixation in Modern Fracture Treatment

نویسندگان

  • Jonathan Lam
  • Scott W. Wolfe
چکیده

The advent of volar fixed-angle plate osteosynthesis has greatly improved the technical ability of the surgeon to treat distal radius fractures and expanded the indications for operative treatment. Nevertheless, the volar plate is not a panacea for all distal radius fractures. Increasingly, it has been recognized that the loss of fixation, secondary displacement, and lack of stability can occur after volar fixed-angle plate osteosynthesis. This article addresses the treatment of distal radius fractures with complex disruption of the articular surface and the unique ability of fragment-specific fixation to achieve stable fixation of these injuries. Oper Tech Sports Med 18:181-188 © 2010 Elsevier Inc. All rights reserved.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Difficulty in Fixation of the Volar Lunate Facet Fragment in Distal Radius Fracture

Recent reports suggest the presence of a rare fracture type for which reduction and fixation cannot be achieved with volar locking plate (VLP). In particular, it is difficult to achieve reduction and fixation with volar lunate facet (VLF) fragments present on the volar ulnar aspect of the lunate facet, because of the anatomical structure and biomechanics in this region. Herein, we report two ch...

متن کامل

Biomechanical comparison of fixed-angle volar plate versus fixed-angle volar plate plus fragment-specific fixation in a cadaveric distal radius fracture model.

PURPOSE To test the hypothesis that combining orthogonal fragment-specific fixation with volar fixed-angle fixation provides markedly higher interfragment stability and construct strength compared with volar fixed-angle fixation alone. METHODS Eight matched pairs of fresh cadaveric hand and forearm specimens were potted upright in cement. Flexor and extensor tendons were isolated at insertion...

متن کامل

Comparison of close reduction and percutaneous pin fixation as treatments for distal metaphyseal radius fractures

Background: Distal radius fractures are one of the most common fractures of skeletal system and because of the aging of population, its incidence is rising. The aim of the present research was to evaluate the close reduction and percutaneous pin fixation as a treatment option. Material and methods: 44 patients who were type 2 according to universal classification or type 2 or 3 according to Ol...

متن کامل

Anatomy of the distal volar radius and its implications on volar plate osteosynthesis

Volar plate fixation with use of either a locking plate or a neutralization plate has become increasingly popular among surgeons for the treatment of dorsally comminuted distal radial fractures. When doing volar plating of radius fractures, we observed a considerable variation in the morphology of the distal radius. Research in the literature reveals rare information about the anatomic variatio...

متن کامل

Volar plate fixation of distal radius fractures.

Volar fixed angle fixation may be considered as the beginning of a new era in restoring wrist function to patients with dorsally displaced distal radius fractures even in the face of comminuted or osteopenic bone. A thorough understanding of the anatomy of the wrist is a prerequisite when volarly approaching dorsally displaced distal radius fractures. The demonstration of the device theoretical...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2011