Arthroscopic assessment of intra-articular distal radius fractures after open reduction and internal fixation from a volar approach

The Journal of Hand Surgery
Kevin LutskyCharles A Goldfarb

Abstract

The volar approach with locked plating is a common treatment for intra-articular distal radius fractures. The purpose of this study was to arthroscopically assess the articular surface after internal fixation through the volar approach as a means to evaluate the ability of an extra-articular reduction to anatomically restore the joint surface. Sixteen patients with intra-articular distal radius fractures were prospectively enrolled. A volar approach and internal fixation using a locked volar plate was performed. Using a visual analog scale (VAS), the fracture reduction was clinically graded on the quality of reduction of the visible metaphyseal fracture lines, fluoroscopically graded, and arthroscopic graded. Maximum step and gap deformity were recorded from arthroscopy and plain radiograph. The mean VAS score for the fracture reduction based on extra-articular fracture lines was 7.4. The mean VAS score for the fluoroscopic reduction was 8.2. The mean VAS score for the arthroscopic reduction was 6.4. The arthroscopic VAS score was significantly lower than the VAS score for fluoroscopy but was not significantly different than the VAS score for metaphyseal reduction. Mean arthroscopic measurement of maximum step and gap deformity...Continue Reading

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Citations

Aug 20, 2010·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hiroshi OnoManabu Akahane
Jun 27, 2013·Indian Journal of Orthopaedics·Prakash Khanchandani, Alejandro Badia
Aug 30, 2011·Hand Clinics·Francisco del Piñal
Apr 25, 2012·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hiroshi OnoManabu Akahane
Mar 7, 2013·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Yukio AbeYasuhiro Tominaga
Aug 25, 2016·British Medical Bulletin·Francesco SmeragliaNicola Maffulli
May 4, 2017·EFORT Open Reviews·Luca Dei GiudiciAntonio Gigante
Dec 4, 2009·Techniques in Hand & Upper Extremity Surgery·Kevin LutskyMartin Boyer
Feb 13, 2009·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·F del Pińal
Oct 28, 2014·Plastic and Reconstructive Surgery·Min Jung Park, Jeffrey Yao
Jun 21, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ludovic ArdouinMarc Leroy
Apr 25, 2021·Hand Clinics·Jeffrey Yao, Nathaniel Fogel
Jul 15, 2021·The Journal of Hand Surgery, European Volume·Francisco Del PiñalGregory I Bain

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