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 fract...

Introduction Recently, the technique of minimally invasive plate osteosynthesis (MIPO) can also be applied to volar locking plates in distal radius fractures. The advantages of MIPO are fracture healing, a quick return to activities of daily life, and cosmetics as a result of the preservation of the soft tissue compared with conventional plate osteosynthesis. The purpose of the present study wa...

BACKGROUND Symptomatic extensor tendon irritation is a frequent complication in volar plate osteosynthesis of distal radius fractures. It is typically caused by dorsal screw protrusion and overdrilling of the dorsal cortex. The use of self-drilling locking screws (SDLS) could overcome both causes. The practical applicability of SDLS depends on two prerequisites: (1) the feasibility of preoperat...

PURPOSE To evaluate the functional and radiological results of treating unstable fractures of the dorsal distal radius with a volar locking plate. METHODS Dorsally displaced distal radial fractures in 30 patients (11 men and 19 women; mean age, 58.6 years) were fixed by volar locking compression plate and followed up for a minimum of one year. RESULTS At final functional assessment, 24 pati...

OBJECTIVE The senior author previously reported a case of rupture of the flexor policis longus tendon after volar plating of a distal radius fracture. We hypothesized that restoration of the pronator quadratus to its native position after plating might prevent this problem. METHODS The authors report a new case of irritation of the flexor policis longus 2.5 years after volar plating of a dist...

Distal radius fractures are the most common fractures in the elderly, yet the treatment is controversial and still debated in the literature. Twenty four patients aged older than sixty with distal radial fractures were treated by dorsal nail plate. We compared them with twenty four similar matched patients treated by percutaneous Kirschner wiring surgical method. The patients were operated on b...

BACKGROUND Considering the importance of an early diagnosis and proper decision-making in regards to the treatment of pediatric distal radius and elbow fractures, this study examines emergency medicine specialists' accuracy in the diagnosis and treatment of these patients. METHODS From 2012 and 2013, children less than 14 years old who were referred to an academic hospital emergency departmen...

Intramedullary fixation of distal radius fractures is an emerging concept. The Dorsal Nail Plate is a new device that links a specifically designed stem to a small distal plate; bone fixation is supported by fixed-angle screws. The device is inserted dorsally using a minimally invasive technique ; its indications are unstable dorsally displaced extra-articular or simple articular distal radius ...

We investigate whether applying an internal radiocarpal-spanning plate with the wrist in slight extension affects the biomechanical stability of the construct. An unstable distal radius fracture was simulated in 10 cadaveric specimens and immobilized with a radiocarpal-spanning plate holding the wrist in a neutral position. This construct was then physiologically loaded through the wrist flexor...