Management of Intra-Articular Distal Radius Fractures: Volar or Dorsal Locking Plate-Which Has Fewer Complications?

Hand : Official Journal of the American Association for Hand Surgery
Yoshihiro AbeTakuro Moriya

Abstract

The aim of this study was to compare the functional outcomes and complications of volar and dorsal plating for the management of intra-articular distal radius fractures, with special regard to indications for dorsal plating. Furthermore, we examine the rationale for choosing dorsal plating and its frequency of use. Clinical assessments included range of motion measurements at the wrist; grip strength; the Quick Disabilities of the Arm, Shoulder, and Hand score; and the Gartland and Werley score. Clinical results were compared with those achieved using a volarly placed locking plate system. According to Lutsky's plate theory, the rationale for choosing dorsal plating was based on 4 types of pathologic fractures. Of 112 patients, 38 patients were treated with open reduction internal fixation via a dorsal approach and 68 patients were treated using a volar approach. Except for wrist flexion, there were no other statistical differences in the clinical results between groups for both subjective and objective parameters. There were no statistically significant differences in the complication rates between the volar and dorsal plated groups. One serious complication occurred after volar plating. The most common reason for choosing dor...Continue Reading

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Citations

Nov 16, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Christopher VannabouathongMohit Bhandari
Jun 25, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Christopher VannabouathongMohit Bhandari
Apr 3, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Annika MüllerFlorian Hess
Mar 21, 2020·Archives of Orthopaedic and Trauma Surgery·M LeixneringS Quadlbauer
May 18, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Christopher ChildFlorian Hess
Apr 25, 2021·Hand Clinics·Lili E Schindelar, Asif M Ilyas

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