Open Reduction and Internal Fixation of Intra-articular Distal Radius Fracture by Buttress Plate: An Outcome Assessment
Article Sidebar
-
Intra-Articular Fracture, Distal Radius Fractures, Buttress Plate, Open Reduction and Internal Fixation
Abstract
This study aims to evaluate the surgery outcomes of distal radius fractures using open reduction and internal fixation (ORIF) with buttress plate in our hospital. 200 patients were included with age above 18 years, having distal radius fractures and who were treated by ORIF buttress plate. The patients who had intraarticular distal radius fractures were included in this study. Data was collected from hospital records. Mean age of our patients was 38.5 ± 8.3 years. Patients were assessed functionally using Gartland and Werley point system and anatomically (radiologically) using Sarmiento’s modification of Lindstrom criteria. Among study participants, 140 patients had excellent restoration (70%), 20 patients had good restoration (10%) and the rest had fair restoration. There were some complications among patients like superficial infection and injury to superficial branch of radial nerve. In the follow up, we notice stiffness in one case with reduced range of movement of wrist and fingers. In our study, we had good to excellent results in 80% cases, anatomically and functionally. We conclude from our study ORIF using buttress plate is the best method for managing displaced intra-articular distal radius fractures.
Full text article
References
Arora, R., Lutz, M., Deml, C., Krappinger, D., Haug, L., Gabl, M. 2011. A Prospective Randomized Trial Comparing Nonoperative Treatment with Volar Locking Plate Fixation for Displaced and Unstable Distal Radial Fractures in Patients Sixty-five Years of Age and Older. Journal of Bone and Joint Surgery, 93(23):2146–2153.
Atzei, A. 2009. New trends in arthroscopic management of type 1-B TFCC injuries with DRUJ instability. Journal of Hand Surgery (European Volume), 34(5):582–591.
Benson, E. C., DeCarvalho, A., Mikola, E. A., Veitch, J. M., Moneim, M. S. 2006. Two Potential Causes of EPL Rupture after Distal Radius Volar Plate Fixation. Clinical Orthopaedics and Related Research, 451:218–222.
Berglund, L. M., Messer, T. M. 2009. Complications of Volar Plate Fixation for Managing Distal Radius Fractures. Journal of the American Academy of Orthopaedic Surgeons, 17(6):369–377.
Chiang, P. P., Roach, S., Baratz, M. E. 2002. Failure of a retinacular flap to prevent dorsal wrist pain after titanium Pi plate fixation of distal radius fractures. The Journal of Hand Surgery, 27(4):724–728.
Chung, K. C., Petruska, E. A. 2007. Treatment of Unstable Distal Radial Fractures with the Volar Locking Plating System. The Journal of Bone and Joint Surgery-American Volume, 89:256–266.
Cooney, W. P., Linscheid, R. L., Dobyns, J. H. 1979. External pin fixation for unstable Colles′ fractures. The Journal of Bone and Joint Surgery, 61(6):840– 845.
Egol, K., Walsh, M., Tejwani, N., McLaurin, T., Wynn, C., Paksima, N. 2008. Bridging external fixation and supplementary Kirschner-wire fixation versus volar locked plating for unstable fractures of the distal radius. The Journal of Bone and Joint Surgery. British volume, 90-B(9):1214–1221.
Gehrmann, S. V., Windolf, J., Kaufmann, R. A. 2008. Distal Radius Fracture Management in Elderly Patients: A Literature Review. The Journal of Hand Surgery, 33(3):421–429.
Jakob, M., Rikli, D. A., Regazzoni, P. 2000. Fractures of the distal radius treated by internal fixation and early function. The Journal of Bone and Joint Surgery. British volume, 82-B(3):340–344.
Joseph, S. J., Harvey, J. N. 2011. The Dorsal Horizon View: Detecting Screw Protrusion at the Distal Radius. The Journal of Hand Surgery, 36(10):1691– 1693.
Khamaisy, S., Weil, Y. A., Safran, O., Liebergall, M., Mosheiff, R., Khoury, A. 2011. Outcome of dorsally comminuted versus intact distal radial fracture fixed with volar locking plates. Injury, 42(4):393– 396.
Koo, S. C., Ho, S. T. 2006. Delayed Rupture of Flexor Pollicis Longus Tendon After Volar Plating of the Distal Radius. Hand Surgery, 11(01n02):67–70.
Lutz, M., Arora, R., Krappinger, D., Wambacher, M., Rieger, M., Pechlaner, S. 2011. Arthritis predicting factors in distal intraarticular radius fractures. Archives of Orthopaedic and Trauma Surgery, 131(8):1121–1126.
Medoff, R. J. 2006. Fragment-specific fixation of distal radius fractures. Atlas of the Hand Clinics, 11(2):163–174.
Müller, M. E., Koch, P., Schatzker, J., Nazarian, S. 1990. The Comprehensive Classification of Fractures of Long Bones. Berlin, Germany: Springer- Verlag, ISBN: 9783642612619.
Orbay, J. L., Fernandez, D. L. 2002. Volar fixation for dorsally displaced fractures of the distal radius: A preliminary report. The Journal of Hand Surgery, 27(2):205–215.
Soong, M., Got, C., Katarincic, J., Akelman, E. 2008. Fluoroscopic Evaluation of Intra-Articular Screw Placement During Locked Volar Plating of the Distal Radius: A Cadaveric Study. The Journal of Hand Surgery, 33(10):1720–1723.
Soong, M., van Leerdam, R., Guitton, T. G., Got, C., Katarincic, J., Ring, D. 2011. Fracture of the Distal Radius: Risk Factors for Complications After Locked Volar Plate Fixation. The Journal of Hand Surgery, 36(1):3–9.
Trumble, T. E., Schmitt, S. R., Vedder, N. B. 1994. Factors affecting functional outcome of displaced intra-articular distal radius fractures. The Journal of Hand Surgery, 19(2):325–340.
Tyllianakis, M. E., Panagopoulos, A. M., Saridis, A. 2011. Long-term Results of Dorsally Displaced Distal Radius Fractures Treated with the Pi-Plate: Is Hardware Removal Necessary? Orthopedics, 34(7):282–288.
Authors
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.