Clinical and Functional Evaluation of Distal Radius Fractures Managed with a Dorsal Spanning Plate

Authors

  • Ianara da Silva Santos Médica Residente em Cirurgia da Mão, Departamento de Ortopedia e Anestesiologia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (HC-FMRP-USP) 14040-906 Ribeirão Preto - SP, Brasil https://orcid.org/0000-0003-2463-6081
  • Jéssica Colamarino Sessa da Silva Médica Residente em Ortopedia e Traumatologia, Departamento de Ortopedia e Anestesiologia, , Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (HC-FMRP-USP) 14040-906 Ribeirão Preto - SP, Brasil
  • Bruno Gomes Fonseca de Sá Médico Residente em Ortopedia e Traumatologia, Departamento de Ortopedia e Anestesiologia, , Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (HC-FMRP-USP) 14040-906 Ribeirão Preto - SP, Brasil https://orcid.org/0009-0008-9815-6455
  • Leonardo Moscardini Pimenta Rodrigues Médico Residente em Ortopedia e Traumatologia do Departamento de Ortopedia e Anestesiologia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP) 14049-900 Ribeirão Preto -SP, Brasil https://orcid.org/0009-0009-5003-6689
  • Sara Dadona Correia Serrano Mestranda, Programa de Pós-Graduação em Ciências da Saúde Aplicadas ao Aparelho Locomotor da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (FMRP-USP); Médica Assistente da Divisão de Cirurgia da Mão, Microcirurgia e do Membro Superior do Complexo HC-FMRP-USP da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP) 14049-900 Ribeirão Preto -SP, Brasil https://orcid.org/0000-0003-0739-6522
  • Cícero José Silva Souto Graduando, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (FMRP-USP), 14040-906 Ribeirão Preto - SP, Brasil https://orcid.org/0009-0006-7260-0461
  • Luis Guilherme Rosifini Alves Rezende Professor Doutor, Programa de Pós-Graduação em Ciências da Saúde Aplicadas ao Aparelho Locomotor da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (FMRP-USP); Responsável pela Residência Médica, pelo Grupo e Divisão de Cirurgia da Mão, Microcirurgia e Cirurgia do Membro Superior, Departamento de Ortopedia e Anestesiologia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (HC-FMRP-USP), Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (FMRP-USP) 14040-906 Ribeirão Preto - SP, Brasil https://orcid.org/0000-0002-2037-0135

DOI:

https://doi.org/10.21270/archi.v13i11.6499

Keywords:

Radius Fractures, Anatomy, Tomography, Wrist Injuries

Abstract

Background: Distal radius fractures are the most common fractures in the upper limbs, with a bimodal pattern by low-energy trauma in elderly patients and high-energy trauma in young patients. In cases involving articular involvement and distal comminution, the choice of implant for surgical treatment becomes challenging for orthopedic surgeons and hand surgeons. In this context, the dorsal spanning plate has been used as an option with good functional outcomes for these fractures. Methods: A retrospective study conducted in a tertiary hospital through a review of medical records from 2020 to 2024 of patients with AO/OTA 2R3C3 distal radius fractures treated with a dorsal spanning plate of the LCP 3.5mm type. Results: There was a predominance of male patients, with high-energy trauma being the most common, and traffic accidents responsible for 80% of the cases. Patients were evaluated after implant removal using the Quick-Dash score, Visual Analog Pain Scale (VAS), and Patient Rated Wrist Evaluation (PRWE), all presenting satisfactory results. Conclusion: Given the difficulties encountered in treating complex distal radius fractures, the spanning plate presents a good option for the surgical management of these fractures.

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References

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Published

2024-11-30

How to Cite

Santos, I. da S., Sessa da Silva, J. C., Fonseca de Sá, B. G., Rodrigues, L. M. P., Serrano, S. D. C., Souto, C. J. S., & Rezende, L. G. R. A. (2024). Clinical and Functional Evaluation of Distal Radius Fractures Managed with a Dorsal Spanning Plate. ARCHIVES OF HEALTH INVESTIGATION, 13(11), 3380–3385. https://doi.org/10.21270/archi.v13i11.6499

Issue

Vol. 13 No. 11 (2024)

Section

Original Articles