Screw placement is everything: risk factors for loss of reduction with volar locking distal radius plates

Drobetz, Herwig, Black, Alyce, Davies, Jonathan, Buttner, Petra, and Heal, Clare (2018) Screw placement is everything: risk factors for loss of reduction with volar locking distal radius plates. World Journal of Orthopedics, 9 (10). pp. 203-209.

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Abstract

Aim: To determine factors correlated with postoperative radial shortening in patients with distal radius fractures treated with volar locking distal radius plates.

Methods: A total of 250 patients with a distal radius fracture stabilised with volar locking plates between January 2010 and December 2014 were included in a multicentre retrospective cohort study. We measured the distance of the distal locking screws to the joint line immediately postoperatively and then measured radial shortening after six to eight weeks using the change in ulnar variance.

Results: Multivariate linear regression analysis showed that there was a significant linear association between the distance of the screws from the joint line and radial shortening. No other patient, injury, or treatment-related characteristic significantly influenced radial shortening in multivariate analysis.

Conclusion: Distal locking screws should be placed as close as possible to the subchondral joint line to prevent postoperative loss of reduction.

Item ID: 56094
Item Type: Article (Research - C1)
ISSN: 2218-5836
Keywords: loss of reduction, volar locking distal radius plate, distal radius fracture, screw placement, cohort study
Copyright Information: Copyright © The Author(s) 2018. This is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Date Deposited: 20 Nov 2018 02:44
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) > 920118 Surgical Methods and Procedures @ 100%
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