Background: A variety of treatment modalities are available for fracture of distal radius. However, there is a lack of consensus on the preferred treatment in these cases. Aims: To compare the different methods for the treatment fracture of distal part of the radius based on the outcome at the end of treatment. Methods: Analysis of cases with fracture of distal radius treated at our centre over...

OBJECTIVES To document the refracture rate after removal of internal fixation at the metaphyseal region of the distal radius and to compare this rate to that associated with diaphyseal plate removal reported in the literature. DESIGN A chart review with telephone follow-up. SETTING Three tertiary care hospitals (in Ottawa, Burlington, Vt., and London, Ont.). PATIENTS Fifty-three patients ...

We describe a 59-year-old man who had nonunion of a right distal radius fracture after volar locking plate fixation. He underwent open reduction and internal fixation with a volar locking plate system for a dorsally displaced, unstable distal radius fracture at a previous hospital 5 months ago. Radiographs of the injured wrist showed nonunion of the distal radius with 1.5-mm ulnar minus varianc...

BACKGROUND Correction of a distal radius fracture malunion is challenging technically. These malunions most classically deform dorsally, but often the deformity involves three planes. METHODS Using an anatomically designed radial plate that takes into consideration the three planes, correction of the deformity can be obtained. In this video we see a patient with a classic dinner fork deformit...

To investigate the cause of rupture of the flexor pollicis longus (FPL) after volar plate fixation of distal radius fractures, previous studies have examined the shape of the distal radius in the sagittal plane or in the lateral view. However, there are no reports on the anatomical shape of the volar surface concavity of the distal radius in the axial plane. We hypothesized that this concavity ...

We describe the case of a patient with distal radius fracture who became unable to flex the distal interphalangeal joint of the index finger after internal fixation using a volar locking plate. There was palpable crepitus with active thumb motion, and wrist radiographs showed prominence of the volar plate at the watershed line. Therefore, our initial diagnosis was plate-induced closed rupture o...

Objective: The superiority of volar locking plate fixation and K-wire fixation on treatment of distal radius fractures was controversial. Thus, we performed a meta-analysis to compare the efficacy of volar locking plate and K-wires for distal radius fracture. Methods: We searched Embase, Medline and PubMed for randomized controlled trials which compare the effects of volar locking plate and K-w...