Study of outcome after fracture reduction and internal fixation with volar locking plates in distal end radius fractures
Keywords:
Distal end radius fractures, Open reduction & internal fixation, Volar locking plates
Abstract
Background: The distal end radius fractures are common in older age group patients with osteoporosis. There are many treatment modalities both operative and non-operative methods. In osteoporotic patients the volar locking plate fixation may be the best option after open reduction. Our study aim is to assess the functional outcome in a retrospective study.
Methods:30 patients in age group of 50-70, with mean age of 60 years, with distal end radius fractures were selected and fixed with volar locking plates after open reduction by anterior incision. These patients were followed retrospectively for period of 12 months mean(24 months follow up).The modified MAYO score and DASH (disabilities of the Arm Shoulder and Hand) scores were used to assess the outcome -functional and fracture union.
Results: About 80% got good to excellent, 15% satisfactory, and 5% poor results according to the mayo and dash scores.
Conclusion: The volar locking plate fixation after open reduction yield good to excellent results, among the treatment options available for distal end radius fractures.
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References
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16. F. Leung, K. Kwan, C. Fang -notes.Distal radius fracture: current concepts and management, The Bone & JointJournal.http://www.boneandjoint.org.uk/content/focus/distal-radius-fracture-current-concepts-and-management.
17. J.Phadnis et al. Midterm functional outcome after the internal fixation of distal end radius fractures Journal of orthopedic surgery and research 2012,7.4 Mid-term functional outcome after the internal fixation of distal radius ...josr-online.biomedcentral.com/articles/10.1186/1749-799X-7-4, by J Phadnis - 2012 18. DOI: 10.1186/1749-799X-7-4© Phadnis et al; licensee BioMed Central Ltd. 2012.
18. Rozental TD, Blazar PE: Functional outcome and complications after volar plating for dorsally displaced, unstable fractures of the distal radius. J Hand Surg Am. 2006, 31: 359-65. 10.1016/j.jhsa.2005.10.010.
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21. Tarallo L1, Mugnai R, Zambianchi F, Adani R, Catani FVolar plate fixation for the treatment of distal radius fractures: analysis of adverse events.J Orthop Trauma. 2013 Dec;27(12):740-5. doi: 10.1097/BOT.0b013e3182913fc5
22. Young Hak Roh, MD, Beom Koo Lee, MD, PhD, Jung Ho Noh, MD, , Joo Han Oh, MD, PhD, Hyun Sik Gong, MD, PhD, Goo Hyun Baek, MD, PhD, Factors Delaying Recovery After Volar Plate Fixation of Distal Radius Fractures, Journal of hand surgery, DOI: http://dx.doi.org/10.1016/j.jhsa.2014.04.033, August 2014Volume 39, Issue 8, Pages 1465–1470).
23. Chris Dillingham, MaryBeth Horodyski, Aimee M. Struk, and Thomas Wrigh, Rate of Improvement following Volar Plate Open Reduction and Internal Fixation of Distal Radius Fractures, Advances in Orthopedics, Volume 2011 (2011), Article ID 565642, 4 pages, http://dx.doi.org/10.4061/2011/565642.
24.Wong, K K; Chan, K W; Kwok, T K; Make, K H.Volar fixation of dorsally displaced distal radial fracture using locking compression plateJournal of Orthopaedic Surgery13.2 (Aug 2005): 153-7. Functional Outcome and Complications After Volar Plating for Dorsally Displaced, Unstable Fractures of the Distal Radius.
25. xPillukat T, Fuhrmann R, Windolf J, van Schoonhoven J.the volar locking plate for extension fractures of distal radius.Oper Orthop Traumatol. 2016 Feb;28(1):47-63; quiz 64. doi: 10.1007/s00064-015-0433-5. Epub 2015 Dec 17. German.
PMID: 27264899
2. Elisabeth Brogren, 1 Michael Petranek,2 and Isam Atroshi1 Incidence and characteristics of distal radius fractures in a southern Swedish regionBMC Musculoskeletal Disord. 2007; 8: 48. Published online 2007 May 31. doi:10.1186/1471-2474-8-.48 PMCID: PMC1904215
3. Roop Bhushan Kalia, Alok C AgarwalSYMPOSIUM — FRAGILITY FRACTURES, Year : 2014|Volume : 7|Issue : 2|Page : 113-118, Fragility fractures of the distal radius, Date of Web Publication14-Sep-2015DOI: 10.4103/0975-7341.1652355).
4. Javed S, Shahid R, Thimmiah R, El-deen M. distal radius fractures volar locking plate osteosynthesis for distal radius fractures.J Orthop Surg (Hong Kong). 2015 Dec;23(3):323-6.
5. Hudak PL, Amadio PC, Bombardier C. DASH AND QUICK DASH SCORES.Am J Ind Med. 1996 Jun;29(6):602-8. Erratum in: Am J Ind Med 1996 Sep;30(3):372. (http://www.dash.iwh.on.ca/).
6. Angst, F., Schwyzer, H. K., Aeschlimann, A., Simmen, B. R., & Goldhahn, J. (2011). Arthritis care & research, 63(S11), S174-S188. http://onlinelibrary.wiley.com/doi/10.1002/acr.20630/full
7.Beaton DE1, Wright JG, Katz JN; Upper Extremity Collaborative Group Development of the Quick DASH: comparison of three item-reduction approaches. J Bone Joint Surg Am. 2005 May;87(5):1038-46. PMID: 15866967
8. Amadio PC, Berquist TH, Smith DK, Ilstrup DM,Cooney WP 3rd, Linscheid RL. Mayo Wrist ScoreReference for Score: Scaphoid malunion. J Hand Surg [Am]. 1989 Jul;14(4):679-87.www.orthopaedicscores.com
9. ONLINE BOOK-AO SURGERY REFERENCE ONLINE, AO FOUNDATION, https://www2.aofoundation.org/wps/portal/!ut/p/a1/04_ /
10. Marsh J: OTA Fracture Classification. -image.J Orthop Trauma. 2009, 23 (8): 551-10.1097/BOT.0b013e3181ad5e92. PMID: 19704268.
11. Corrales LA1, Morshed S, Bhandari M, Miclau T 3rd.Variability in the assessment of fracture-healing in orthopaedic trauma studies.J Bone Joint Surg Am. 2008 Sep;90(9):1862-8. doi: 10.2106/JBJS.G.01580.
12. JB Jupiter - J Bone Joint Surg Am, 1991 - sites.surgery.northwestern.edu Jupiter JB. Current concepts review: fractures of the distal end of the radius. J Bone Joint Surg Am. 1991Mar;73(3):461-9.
13.British Medical journal- Wrist fractures - Basics - Pathophysiology - Best Practice – Englishbestpractice.bmj.com/best-practice/monograph/.../pathophysiology.htmlMar 21, 2016.
14. Ezzat A, Baliga S, Carnegie C, Johnstone A.volar locking plate fixation for distal radius fracture -does age affect outcome?PMID: 27053837).
15.Online guidelines- electronic book-appropriate use criteria for treatment of distal radius fractures.http://www.aaos.org/research/guidelines/drfguideline.pdf.
16. F. Leung, K. Kwan, C. Fang -notes.Distal radius fracture: current concepts and management, The Bone & JointJournal.http://www.boneandjoint.org.uk/content/focus/distal-radius-fracture-current-concepts-and-management.
17. J.Phadnis et al. Midterm functional outcome after the internal fixation of distal end radius fractures Journal of orthopedic surgery and research 2012,7.4 Mid-term functional outcome after the internal fixation of distal radius ...josr-online.biomedcentral.com/articles/10.1186/1749-799X-7-4, by J Phadnis - 2012 18. DOI: 10.1186/1749-799X-7-4© Phadnis et al; licensee BioMed Central Ltd. 2012.
18. Rozental TD, Blazar PE: Functional outcome and complications after volar plating for dorsally displaced, unstable fractures of the distal radius. J Hand Surg Am. 2006, 31: 359-65. 10.1016/j.jhsa.2005.10.010.
19. Lee DS1, Weikert DR2. Complications of Distal Radius Fixation.Orthop Clin North Am. 2016 Apr;47(2):415-24. doi: 10.1016/j.ocl.2015.09.014.
20.Satake H, Hanaka N, Honma R, Watanabe T, Inoue S, Kanauchi Y, Kato Y, Nakajima T, Sato D, Eto J, Maruyama M, Naganuma Y, Sasaki J, Toyono S, Harada M, Ishigaki D, Takahara M, Takagi M.complications of distal radius fractures treated with volar locking plates.Orthopedics. 2016 May 23:1-4. doi: 10.3928/01477447-20160517-05.
21. Tarallo L1, Mugnai R, Zambianchi F, Adani R, Catani FVolar plate fixation for the treatment of distal radius fractures: analysis of adverse events.J Orthop Trauma. 2013 Dec;27(12):740-5. doi: 10.1097/BOT.0b013e3182913fc5
22. Young Hak Roh, MD, Beom Koo Lee, MD, PhD, Jung Ho Noh, MD, , Joo Han Oh, MD, PhD, Hyun Sik Gong, MD, PhD, Goo Hyun Baek, MD, PhD, Factors Delaying Recovery After Volar Plate Fixation of Distal Radius Fractures, Journal of hand surgery, DOI: http://dx.doi.org/10.1016/j.jhsa.2014.04.033, August 2014Volume 39, Issue 8, Pages 1465–1470).
23. Chris Dillingham, MaryBeth Horodyski, Aimee M. Struk, and Thomas Wrigh, Rate of Improvement following Volar Plate Open Reduction and Internal Fixation of Distal Radius Fractures, Advances in Orthopedics, Volume 2011 (2011), Article ID 565642, 4 pages, http://dx.doi.org/10.4061/2011/565642.
24.Wong, K K; Chan, K W; Kwok, T K; Make, K H.Volar fixation of dorsally displaced distal radial fracture using locking compression plateJournal of Orthopaedic Surgery13.2 (Aug 2005): 153-7. Functional Outcome and Complications After Volar Plating for Dorsally Displaced, Unstable Fractures of the Distal Radius.
25. xPillukat T, Fuhrmann R, Windolf J, van Schoonhoven J.the volar locking plate for extension fractures of distal radius.Oper Orthop Traumatol. 2016 Feb;28(1):47-63; quiz 64. doi: 10.1007/s00064-015-0433-5. Epub 2015 Dec 17. German.
CITATION
DOI: 10.17511/ijmrr.2016.i06.21
Published: 2016-06-30
How to Cite
1.
Ramnath DS, N. R, Kolla S. Study of outcome after fracture reduction and internal fixation with volar locking plates in distal end radius fractures. Int J Med Res Rev [Internet]. 2016Jun.30 [cited 2024Nov.22];4(6):987-92. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/592
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