OBJECTIVES To compare the biomechanical properties of a new nitinol intramedullary (IM) scaffold implant with those of volar plates for the treatment of dorsally comminuted extra-articular distal radius fractures using an established model. METHODS A dorsal wedge osteotomy was performed on a bone model to simulate a dorsally comminuted extra-articular distal radius fracture. This model was us...

1. Beck J, Harness N, Spencer H. Volar plate fixation failure for volar shearing distal radius fractures with small lunate facet fragments. J Hand Surg Am. 2014;39(4): 670e678. 2. Andermahr J, Lozano-Calderon S, Trafton T, Crisco J, Ring D. The volar extension of the lunate facet of the distal radius: a quantitative anatomic study. J Hand Surg Am. 2006;31(6):892e895. 3. Kitay A, Mudgal C. Volar...

OBJECTIVE Skewed consolidation of the distal radius, due to sequelae of fractures, may cause functional incapacity, thus leading such patients to present pain, loss of strength and diminished mobility. Based on the excellent results obtained from surgical treatment of unstable fractures of the distal radius through a volar approach and use of rigid fixation with a fixed-angle volar plate, we st...

We report the incidence of late onset post-operative carpal tunnel syndrome (late carpal tunnel syndrome) and late median nerve neuropathy after volar plating of distal radius fracture by conducting a retrospective study on volar plating for distal radius fracture performed during 2002 to 2006. Two hundred eighty-two volar plating were performed for acute distal radius fracture after exclusion....

Skin identity is controlled by a combination of intrinsic features the epidermis and dermis as well crosstalk between two compartments. The modification skin has clinical potential, such conversion residual limb/stump (Non-volar) an amputee to pressure-responsive palmoplantar (Volar) in effort enhance prosthesis use minimize breakdown. Greater KRT9 expression, higher epidermal thickness, larger...

PRINCIPLES OF FLAP DESIGN The visor flap is a bipedicled flap based on the dorsal branches of the volar digital neurovascular bundles (Figure 1). Transverse amputations of the distal, middle and distal proximal phalanges are most suitable for this technique. Figure 2 illustrates the design of the dorsal flap. The volar/dorsal diameter of the amputation site is measured (A–B). To achieve adequat...

BACKGROUND Aesthetic repair of syndactyly of the toes is desirable because patients may have psychological concerns about its appearance. There are 2 important factors for the aesthetic repair of syndactyly of the toe. One is to hide the operative scar from the visual site (dorsal site), whereas the other is to create an interdigital space close to the normal anatomical skin characteristics (2 ...

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...

PURPOSE To identify risk factors for tendon attrition after volar locking plate fixation of distal radius fractures. METHODS We prospectively assessed attrition of the flexor pollicis longus tendon at volar plate removal in 127 hands in 126 patients. We also evaluated preoperative lateral wrist radiographs, sonographs, and crepitus with flexor pollicis longus tendon motion and compared the de...