Osteosynthesis of distal radial fractures with a volar locking screw plate system

Drobetz, H., and Kutscha-Lissberg, E. (2003) Osteosynthesis of distal radial fractures with a volar locking screw plate system. International Orthopaedics, 27 (1). pp. 1-6.

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Abstract

We developed a locking screw plate system for the stabilisation of distal radial fractures, which can be inserted through a standard volar approach and in which the locking mechanism allows early post-operative mobilisation. Forty-nine patients with 50 fractures underwent surgical treatment; 66% were type C fractures. The mean follow-up was 26 months. According to the scores of Gartland and Werley and Green and O'Brien, 92% and 68% respectively had an excellent or good outcome; 46% were radiologically identical to the uninjured side and in 42% the reduction remained unchanged after 2 years. The most frequent complication was rupture of the flexor pollicis longus tendon, which occurred in six cases (12%) at a mean of 10 months after operation.

Item ID: 29981
Item Type: Article (Research - C1)
ISSN: 1432-5195
Additional Information:

Abstract also available in French: Nous avons développé un système verrouillable de plaque vissée pour la stabilisation des fractures radiales distales pouvant être inséré à travers une approche palmaire standard et dont le blocage autorise la mobilisation postopératoire précoce. Quarante neuf malades avec 50 fractures ont été opérés; 66% avaient une fracture de type C. Le suivi moyen était 26 mois. D'après les scores de Gartland et Werley et de Green et O'Brien, 92% et 68% avaient, respectivement, un excellent ou bon résultat; 46% étaient radiologiquement identique au côté indemne et dans 42% des cas la réduction est restée inchangée après deux années. La complication la plus fréquente était rupture du tendon long fléchisseur du pouce qui s'est produit dans six cas (12%) à une moyenne de 10 mois après l'opération.

Date Deposited: 30 Oct 2013 04:34
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110314 Orthopaedics @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920116 Skeletal System and Disorders (incl. Arthritis) @ 50%
92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920118 Surgical Methods and Procedures @ 50%
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