Use of a distraction plate for distal radial fractures with metaphyseal and diaphyseal comminution. Surgical technique

The Journal of Bone and Joint Surgery. American Volume
T Adam GinnD P Hanel

Abstract

Distal radial fractures with extensive comminution involving the metaphyseal-diaphyseal junction present a major treatment dilemma. Of particular difficulty are those fractures involving the articular surface. One approach is to apply a dorsal 3.5-mm plate extra-articularly from the radius to the third metacarpal, stabilizing the diaphysis and maintaining distraction across the radiocarpal joint. Twenty-two patients treated with a distraction plate for a comminuted distal radial fracture were included in the study. With use of three limited incisions, a 3.5-mm ASIF plate was applied in distraction dorsally from the radial diaphysis, bypassing the comminuted segment, to the long-finger metacarpal, where it was fixed distally. The articular surface was anatomically reduced and was secured with Kirschner wires or screws. Eleven of the twenty-two fractures were treated with bone-grafting. The plate was removed after fracture consolidation (at an average of 124 days), and wrist motion was initiated. All patients were followed prospectively with use of radiographs, physical examination, and DASH (Disabilities of the Arm, Shoulder and Hand) scores. All fractures united by an average of 110 days. Radiographs showed an average palmar ti...Continue Reading

References

Jul 26, 2005·The Journal of Hand Surgery·Anastasios PapadonikolakisDavid S Ruch
Aug 12, 2005·Techniques in Hand & Upper Extremity Surgery·Anastasios Papadonikolakis, David S Ruch

❮ Previous
Next ❯

Citations

Mar 26, 2014·Chirurgie de la main·G VergnenègreP-S Marcheix
Jul 25, 2013·Archives of Orthopaedic and Trauma Surgery·F MedvedH E Schaller
Jul 14, 2018·Hand : Official Journal of the American Association for Hand Surgery·Venus VakhshoriAlidad Ghiassi
Jun 15, 2007·The Orthopedic Clinics of North America·Paul A MartineauEdward J Harvey
Dec 17, 2009·Hand Clinics·Paul A MartineauEdward J Harvey
May 25, 2010·Hand Clinics·Douglas P HanelChristopher H Allan
Oct 19, 2010·Hand Clinics·Brian T CarlsenSteven L Moran

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.