PMID: 15342751Sep 3, 2004Paper

Loss of fixation of the volar lunate facet fragment in fractures of the distal part of the radius

The Journal of Bone and Joint Surgery. American Volume
Neil HarnessDiego L Fernandez

Abstract

The purpose of the present study is to report on a cohort of patients with a volar shearing fracture of the distal end of the radius in whom the unique anatomy of the distal cortical rim of the radius led to failure of support of a volar ulnar lunate facet fracture fragment. Seven patients with a volar shearing fracture of the distal part of the radius who lost fixation of a volar lunate facet fragment with subsequent carpal displacement after open reduction and internal fixation were evaluated at an average of twenty-four months after surgery. One fracture was classified as B3.2 and six were classified as B3.3 according to the AO comprehensive classification system. All seven fractures initially were deemed to have an adequate reduction and internal fixation. Four patients required repeat open reduction and internal fixation, and one underwent a radiocarpal arthrodesis. At the time of the final follow-up, all patients were assessed with regard to their self-reported level of functioning and with use of Sarmiento's modification of the system of Gartland and Werley. At a mean of two years after the injury, six patients had returned to their previous level of function. The result was considered to be excellent for one patient, go...Continue Reading

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Jan 6, 2009·The Journal of Bone and Joint Surgery. American Volume·Jesse B JupiterUNKNOWN LCP Study Group
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