Radiographic Evaluation of Osteosynthesis of Distal Radius Fractures with Spanning Plate

Authors

  • Neander Neves Alves Ezidorio Médico Ortopedista e Traumatologista da Equipe de Ortopedia e Traumatologia Especializada do Hospital Márcio Cunha (ORTRAE-HMC) 35160-158 Ipatinga – MG, Brasil
  • Luiz Henrique Vilela Médico Ortopedista e Traumatologista, Cirurgião da Mão da Equipe de Ortopedia e Traumatologia Especializada do Hospital Márcio Cunha (ORTRAE-HMC), 35160-158 Ipatinga – MG, Brasil
  • Henrique Gontijo Chamon Médico Ortopedista e Traumatologista, Cirurgião da Mão da Equipe de Ortopedia e Traumatologia Especializada do Hospital Márcio Cunha (ORTRAE-HMC), 35160-158 Ipatinga – MG, Brasil
  • Paulo Henrique Sampaio Ribeiro Médico Ortopedista e Traumatologista da Equipe de Ortopedia e Traumatologia Especializada do Hospital Márcio Cunha (ORTRAE-HMC), 35160-158 Ipatinga – MG, Brasil
  • Pedro Henrique Braga Médico Ortopedista e Traumatologista da Equipe de Ortopedia e Traumatologia Especializada do Hospital Márcio Cunha (ORTRAE-HMC), 35160-158 Ipatinga – MG, Brasil
  • Eduardo Barbosa Coelho Neto Médico Ortopedista e Traumatologista, Cirurgião da Mão do Grupo Santa Casa, 30150-221 Belo Horizonte – MG, Brasil
  • Luis Guilherme Rosifini Alves Rezende Médico Assistente e Preceptor do Programa de Cirurgia da Mão do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP)14049-900 Ribeirão Preto – SP, Brasil https://orcid.org/0000-0002-2037-0135

DOI:

https://doi.org/10.21270/archi.v11i4.5815

Keywords:

Fraturas do Rádio, Equipamentos Ortopédicos, Articulação do Punho, Próteses e Implantes

Abstract

Introduction: Distal radius fractures are the most common in orthopedic practice, accounting for 17.5% of all adult fractures, and 4.5% of these are classified as intra-articular complex fractures. Among the different methods available for its management, a dorsal spanning plate is an option for the management of unstable comminuted fractures of the distal radius, but it is rarely used. Objective: to radiographically evaluate the postoperative outcomes of patients with AO 2R3C3 distal radius fractures managed by the spanning plate technique. Methods: A retrospective study that evaluated 26 patients, aged 20 to 69 years, undergoing osteosynthesis, from 2015 to 2017, with a minimum follow-up of 6 months. For radiographic measurement, the following parameters were defined: ulnar variance, volar inclination, ulnar inclination, and joint step. Results: The mean value of the ulnar variance was 0.88 mm, the volar slope was 3.58 degrees, the ulnar slope was 16.34 degrees, and the joint step was 0.31 mm. Conclusion: It is concluded that the distraction plate method is an additional useful and effective tool in the treatment of complex joint fractures of the distal radius.

Downloads

Download data is not yet available.

References

Brogren E, Petranek M, Atroshi I. Incidence and characteristics of distal radius fractures in a southern Swedish region. BMC Muscosk Disord.2007;8(48).

Flinkkila T, Sirniö K, Hippi M, Hartonen S, Ruuhela R, Ohtonen P. Epidemiology and seasonal variation of distal radius fractures in Oulu, Finland. Osteopo Internat. 2011;22(8):2307–3212.

Oliveira FAM, de Albeny TAP, Alves-Rezende LGR, Shimaoka FJ, Cagnolati AF, Irusta AEC, Mandarano-Filho LG, Mazzer N. Perfil epidemiológico das fraturas radiais distais em hospital de referência em Ribeirão Preto, Brasil. Arch Health Invest. 2020;9(3):211-215.

Albeny TAP, Vaz BAS, Alves-Rezende LGR, Shimaoka FJ, Cagnolati AF, Irusta AEC, Mandarano-Filho LG, Mazzer N. Correlação clínico-radiográfica das fraturas articulares completas do rádio distal tratadas cirurgicamente. Arch Health Invest. 2020;9(3):228-232.

Lafontaine M, Hardy D, Delince P. Stability assessment of distal radius fractures. Injury – Internl J Care Inj. 1989;20(4):208-10.

Nesbitt KS, Failla JM, Les C. Assessment of instability factors in adult distal radius fractures. J Hand Surg. 2004;29(6):1128-38.

Ginn TA, Ruch DS, Yang CC, Hanel DP. Use of a distraction plate for distal radial fractures with metaphyseal and diaphyseal comminution. The J Bone Joint Surg. 2006;88(1):29-36.

Burke EF, Singer R M. Treatment of comminuted distal radius with the use of an internal distraction plate. Tech Hand Upper Extrem Surg. 1998;2(4):248-52.

Behrens F, Johnson, W. Unilateral external fixation: methods to increase and reduce frame stiffness. Clin Orthop Rel Researc.1989;241:48-56.

Hanel DP, Lu TS, Weil WM. Bridge plating of distal radius fractures: the Harborview method. Clinical Orthopaedics and Related Research, n. 445, p.91-99, 2006.

Richard MJ, Katolik LI, Hanel DP, Wartinbee DA, Ruch DS. Distraction plating for the treatment of highly comminuted distal radius fractures in elderly patients. The J Bone Joint Surg Amer. 2012;37(5):948-56.

Mignemi ME, Byram IR, Wolfe CC, Fan K, Koehler EA, Block JJ, et al. Radiographic outcomes of volar locked plating for distal radius fractures. J Hand Surg Amer. 2013;38(1):40-48.

Altissimi M, Antenucci R, Fiacca C, Mancini GB. Long-term results of conservative treatment of fractures of the distal radius. Clin Orthop Relat Researc.1986; 206(206):202-10.

Jupiter JB. Fractures of the distal end of the radius. The J Bone Joint Surg Amer.1991;73(3):461-69.

Mekhail AO, Ebraheim NA, Mccreath WA, Jackson WT, Yeasting RA. Anatomic and x-ray film studies of the distal articular surface of the radius. J Hand Surg Amer. 1996;21(4):567-73.

Steyers CM, Blair WF. Measuring ulnar variance: a comparison of techniques. J Hand Surg Amer. 1989;14(4):607-12.

Jung JM, Baek GH, Kim JH, Lee YH, Chung MS. Changes in ulnar variance in relation to forearm rotation and grip. The J Bone Joint Surg Brit. 2001;83(7):1029-33.

Knirk JL, Jupiter JB. Intra-articular fractures of the distal end of the radius in young adults. The J Bone Joint Surg Amer.1986;68(5):647-59.

Mann FA, Wilson AJ, Gilula LA. Radiographic evaluation of the wrist: what does the hand surgeon want to know? Radiol. 1992;184(1):15-24.

Porter M, Stockley I. Fractures of the distal radius: intermediate and end results in relation to radiologic parameters. Clin Orthopaed Rel Researc. 1987;220(220):241-52.

Wolfe S, Pederson W, Kozin SH, Cohen M. Green’s operative hand surgery. Philadelphia: Elsevier; 2010.

Gartland JJ, Werley CW. Evaluation of healed Colles’ fractures. The J Bone Joint Surg Amer. 1951;33(4):895-907.

Taleisnik J, Watson HK. Midcarpal instability caused by malunited fractures of the distal radius. J Hand Surg Amer. 1984;9(3):350-57.

Mcqueen M, Caspers J. Colles fracture: does the anatomical result affect the final function? The J Bone Joint Surg Brit.1988; 70(4):649-51.

Short WH, Palmer AK, Werner FW, Murphy DJ. A biomechanical study of distal radial fractures. J Hand Surg Amer.1987;12(4):529-34.

Czitrom AA, Dobyns JH, Linscheid RL. Ulnar variance in carpal instability. J Hand Surg Amer.1987;12(2):205-08.

Adams BD. Effects of radial deformity on distal radioulnar joint mechanics. J Hand Surg Amer.1993;18(3):492-98.

Wolf JC, Weil WM, Hanel DP, Trumble TE. A biomechanic comparison of an internal radiocarpal-spanning 2.4-mm locking plate and external fixation in a model of distal radius fractures. J Hand Surg. 2006;31(10):1578-86.

Hanel DP, Ruhlman SD, Katolik LI, Allan CH. Complications associated with distraction plate fixation of wrist fractures. Hand Clin. 2010; 26(2):237-43.

Rozental TD, Beredjiklian PK, Bozentka DJ. Functional outcome and complications following two types of dorsal plating for unstable fractures of the distal part of the radius. The J Bone Joint Surg Amer. 2003;85(10):1956-60.

Arora R, Lutz M, Hennerbichler A, Krappinger D, Espen D, Gabl M. Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate. J Orthop Trau.2007;21(5):316-22.

Lauder A, Agnew S, Bakri K, Allan CH, Hanel DP, Huang JI. Functional outcomes following bridge plate fixation for distal radius fractures. J Hand Surg Amer. 2015;40(8):1554-62.

Downloads

Published

2022-03-28

How to Cite

Ezidorio, N. N. A., Vilela, L. H., Chamon, H. G., Ribeiro, P. H. S., Braga, P. H., Coelho Neto, E. B., & Rezende, L. G. R. A. (2022). Radiographic Evaluation of Osteosynthesis of Distal Radius Fractures with Spanning Plate. ARCHIVES OF HEALTH INVESTIGATION, 11(4), 605–611. https://doi.org/10.21270/archi.v11i4.5815

Issue

Vol. 11 No. 4 (2022)

Section

Original Articles