PMID: 16648696May 2, 2006Paper

Selective screw placement in forearm compression plating: results of 75 consecutive fractures stabilized with 4 cortices of screw fixation on either side of the fracture

Journal of Orthopaedic Trauma
Eric M Lindvall, Henry C Sagi

Abstract

To (1) assess the effectiveness of an alternative plate and screw construct for all diaphyseal forearm fracture patterns and (2) test the hypothesis that as the working length (WL) to plate length (PL) ratio increases, so does the construct instability and therefore likelihood of failure. Retrospective. Level 1 trauma center. Sixty-three patients were operatively treated and 53 were available for follow-up, totaling 75 diaphyseal fractures (19 ulna, 12 radius, and 22 radius/ulna). Average follow-up was 14.6 months (8-26). Patients were followed postoperatively at 1 to 2 weeks, 6 weeks, 10 weeks, 4 months, and then at 3 month intervals. Radiographs were analyzed for changes in fracture alignment, loose or broken hardware, and fracture-healing characteristics. Fracture union was defined when a fracture was radiographically healed and clinically asymptomatic, and the patient was able to return to all activities without restrictions. No fractures showed radiographic evidence of changes in alignment after fixation. There were no refractures, no infections, and one nonunion. The overall union rate after the index procedure was 97.1% for the radius and 97.6% for the ulna. WL:PL ratio averaged 0.17 (range 0-0.57) and the most frequentl...Continue Reading

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Citations

Jan 16, 2014·Hand : Official Journal of the American Association for Hand Surgery·Cameron BarrJeffrey Yao
Apr 1, 2009·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Ewa K StuermerKlaus Michael Stuermer
May 17, 2011·The Journal of Hand Surgery·David B Jones, Sanjeev Kakar
Jun 6, 2007·Hand Clinics·Joshua P Moss, Donald K Bynum
Jul 4, 2012·The Journal of the American Academy of Orthopaedic Surgeons·Eben A CarrollJason J Halvorson
Jun 27, 2014·The Journal of the American Academy of Orthopaedic Surgeons·Leah M SchulteRobert J Neviaser
Apr 1, 2012·Trauma Monthly·Seyed Abdolhossein Mehdi NasabSaeed Sabahi
Dec 23, 2020·Hand : Official Journal of the American Association for Hand Surgery·Stephen P CantonJohn R Fowler

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