Routine use of locking shaft screws is not necessary in volar plate fixation of distal radius fractures

Hand : Official Journal of the American Association for Hand Surgery
Kevin LutskyJonas L Matzon

Abstract

Volar locking plate fixation is a common treatment method for distal radius fractures. Recently, implants have been designed with an option to use locking screws in the shaft portion of the plate. While there is a high incidence of low bone mineral density in patients who sustain fragility fractures of the distal radius, the need for locking shaft screws is not well defined. Our hypothesis is that the routine use of locking screws in the shaft portion of volar plates is not required to maintain reduction or to prevent hardware failure. A retrospective review was performed in all patients over age 50 years who underwent volar plate fixation using an implant with non-locking shaft screws for a distal radius fracture during a 2-year period. Patients were permitted to perform early range of motion exercises. Radiographs were examined and measurements were obtained to assess maintenance of reduction and incidence of hardware failure. Patients were followed at least until fracture healing. Patients were excluded from analysis if locking shaft screws were utilized or if follow-up was inadequate. Forty-one patients met the inclusion criteria. The average age was 62 years (range 50-79). There were 12 men and 29 women. The implant used i...Continue Reading

References

Oct 12, 2004·The Journal of the American Academy of Orthopaedic Surgeons·George J Haidukewych
Dec 5, 2006·The Journal of Bone and Joint Surgery. American Volume·Erik N KubiakKenneth A Egol
May 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Tamara D RozentalMary L Bouxsein
Sep 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Kenneth J KovalJames N Weinstein
May 29, 2009·The Journal of the American Academy of Orthopaedic Surgeons·Lisa M Berglund, Terry M Messer
Jul 3, 2009·The Journal of the American Academy of Orthopaedic Surgeons·Jeffrey AnglenKevin M Boyer
Jul 4, 2012·The Journal of Hand Surgery·Neil G HarnessDenise Greene

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