Midterm Follow-up of Treating Volar Marginal Rim Fractures with Variable Angle Lcp Volar Rim Distal Radius Plates

The Journal of Hand Surgery Asian-Pacific Volume
C K GoorensJean Goubau

Abstract

Specific treatment of the volar marginal rim fragment of distal radius fractures avoids occurance of volar radiocarpal dislocation. Although several fixation systems are available to capture this fragment, adequately maintaining internal fixation is difficult. We present our experience of the first 10 cases using the 2.4 mm variable angle LCP volar rim distal radius plate (Depuy Synthes®, West Chester, US), a low-profile volar rim-contouring plate designed for distal plate positioning and stable buttressing of the volar marginal fragment. Follow-up patient satisfaction, range of motion, grips strength, functional scoring with the QuickDASH and residual pain with a numeric rating scale were assessed. Radiological evaluation consisted in evaluating fracture consolidation, ulnar variance, volar angulation and maintenance of the volar rim fixation. The female to male ratio was 5:5 and the mean age was 52.2 (range, 17-80) years. The mean follow-up period was 11 (range, 5-19) months postoperatively. Patient satisfaction was high. The mean total flexion/extension range was 144° (range, 100-180°) compared to the contralateral uninjured side 160° (range, 95-180°). The mean total pronation/supination range was 153° (range, 140-180°) comp...Continue Reading

References

Jan 1, 1988·Journal of Orthopaedic Trauma·R S SmithM Horowitz
Sep 1, 1988·The Journal of Hand Surgery·J L Halbrecht, S A Stuchin
Jun 5, 1999·The Journal of Hand Surgery·K R Chin, J B Jupiter
Sep 3, 2004·The Journal of Bone and Joint Surgery. American Volume·Neil G HarnessDiego L Fernandez
Jan 18, 2011·The Journal of Bone and Joint Surgery. American Volume·Maximillian SoongPhilip Blazar
Feb 14, 2014·Techniques in Hand & Upper Extremity Surgery·Adam J Bakker, Alexander Y Shin
Nov 27, 2015·European Journal of Medical Research·Sandra HäberleSebastian Siebenlist

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Citations

May 6, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Chul Ki GoorensJean François Goubau
Jan 4, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Yuki KikuchiMinoru Doita
Mar 14, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Szabolcs BenisNadine Hollevoet

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