Je Kang Hong; Chang Hyun Shin

doi:10.12671/jkfs.2015.28.1.8

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Original Article
Treatment of the Communited Distal Radius Fracture Using Volar Locking Plate Fixation with Allogenic Cancellous Bone Graft in the Elderly: Je Kang Hong, M.D., Chang Hyun Shin, M.D.; Journal of the Korean Fracture Society 2015;28(1):8-16.
DOI: https://doi.org/10.12671/jkfs.2015.28.1.8
Published online: January 20, 2015

Department of Orthopedic Surgery, Institute of Wonkwang Medical Science, Wonkwang University College of Medicine, Iksan, Korea.

Address reprint requests to: Hong Je Kang, M.D. Department of Orthopedic Surgery, Wonkwang University College of Medicine, 460 Iksan-daero, Iksan 570-749, Korea. Tel: 82-63-859-1360, Fax: 82-63-852-9329, kanghongje@hanmail.net

• Received: June 9, 2014 • Revised: August 18, 2014 • Accepted: September 25, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
We studied results of the communited distal radius fracture treated with allogenic cancellous bone graft and volar locking plate in the elderly.
Materials and Methods
We studied 29 cases of communited distal radius fracture treated with allogenic cancellous bone graft and volar locking plate from April 2009 to April 2013. Fracture was classified according to AO/OTA classification. Postoperative clinical evaluation was performed with measurement of wrist range of motion (ROM) at last follow-up, modified Mayo wrist scoring system (MMWS), and visual analogue pain scale (VAS). Radiologic evaluation was performed with measurement of radial length on immediate postoperation and last follow-up, radial inclination, volar tilt and ulnar variance checked at the last follow-up using Sarmiento criteria.
Results
Using the MMWS, 13 cases were classified as 'good', 10 'fair', and 5 'normal'. The average wrist ROM was 88.5% for flexion, 92.2% for extension, 90.5% for adduction, and 94.0% for abduction. The average VAS was 1.7. On the last follow-up, average radius length, radial inclination and volar tilt did not show statistically significant improvement (p>0.05) compared to immediate post operation measurements, and according to Sarmiento criteria, 5 cases were classified as 'good', 14 'fair', and 7 'normal'.
Conclusion
Treatment of severe communited distal radius fracture accompanied by bone defect with volar locking plate and allogenic cancellous bone graft is a satisfying and effective treatment method in the elderly.
Key words: Distal radius fracture, Allogenic Cancellous Bone Graft, Volar Locking Plate

Financial support: None.

Conflict of interest: None.

REFERENCES

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Fig. 1

A 71-year-old woman with an AO/OTA classification C3.2 type fracture. (A) Preoperative anteroposterior and lateral radiographs. (B) Preoperative 3-dimensional computed tomography. (C) Piled up allogenous cancellous bone chip at bone defect lesion (arrow). (D) Postoperative anteroposterior and lateral radiographs. (E) Postoperative 12 months anteroposterior and lateral radiographs.

Fig. 2

A 78-year-old woman with an AO/OTA classification C3.3 type fracture. (A) Preoperative anteroposterior and lateral radiographs. (B) Preoperative 3-dimensional computed tomography. (C) Piled up allogenous cancellous bone chip at bone defect lesion (arrow). (D) Postoperative anteroposterior and lateral radiographs. (E) Postoperative 15 months anteroposterior and lateral radiographs.

Table 1

Demographic Data of the Patients (n=29)

Values are presented as number (%), medians (range), or number only.

Table 2

Clinical Outcome of Communited Distal Radius Fracture according to Modified Mayo Wrist Scoring System

Values are presented as number (%) or number only. ^*Classification according to the standard of AO/OTA fracture type.

Table 3

Wrist Functional Outcomes at Last Follow-Up

The angle of the joint is shown in percentile compared to normal side. ^*Classification according to the standard of AO/OTA fracture type. VAS: Visual analogue pain scale.

Table 4

Radiological Outcomes Immediate Postoperative Date and Last Postoperative Follow-Up

Values are presented as mean±standard deviation.

Table 5

Results according to Sarmiento Criteria

Values are presented as number (%) or number only. ^*Classification according to the standard of AO/OTA fracture type.

Figure & Data

REFERENCES

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Treatment of the Communited Distal Radius Fracture Using Volar Locking Plate Fixation with Allogenic Cancellous Bone Graft in the Elderly

J Korean Fract Soc. 2015;28(1):8-16. Published online January 31, 2015

DOI: https://doi.org/10.12671/jkfs.2015.28.1.8

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Treatment of the Communited Distal Radius Fracture Using Volar Locking Plate Fixation with Allogenic Cancellous Bone Graft in the Elderly

Fig. 1 A 71-year-old woman with an AO/OTA classification C3.2 type fracture. (A) Preoperative anteroposterior and lateral radiographs. (B) Preoperative 3-dimensional computed tomography. (C) Piled up allogenous cancellous bone chip at bone defect lesion (arrow). (D) Postoperative anteroposterior and lateral radiographs. (E) Postoperative 12 months anteroposterior and lateral radiographs.

Fig. 2 A 78-year-old woman with an AO/OTA classification C3.3 type fracture. (A) Preoperative anteroposterior and lateral radiographs. (B) Preoperative 3-dimensional computed tomography. (C) Piled up allogenous cancellous bone chip at bone defect lesion (arrow). (D) Postoperative anteroposterior and lateral radiographs. (E) Postoperative 15 months anteroposterior and lateral radiographs.

Fig. 1

Fig. 2

Treatment of the Communited Distal Radius Fracture Using Volar Locking Plate Fixation with Allogenic Cancellous Bone Graft in the Elderly

Table 1

Demographic Data of the Patients (n=29)

Values are presented as number (%), medians (range), or number only.

Table 2

Clinical Outcome of Communited Distal Radius Fracture according to Modified Mayo Wrist Scoring System

Values are presented as number (%) or number only. ^*Classification according to the standard of AO/OTA fracture type.

Table 3

Wrist Functional Outcomes at Last Follow-Up

The angle of the joint is shown in percentile compared to normal side. ^*Classification according to the standard of AO/OTA fracture type. VAS: Visual analogue pain scale.

Table 4

Radiological Outcomes Immediate Postoperative Date and Last Postoperative Follow-Up

Values are presented as mean±standard deviation.

Table 5

Results according to Sarmiento Criteria

Values are presented as number (%) or number only. ^*Classification according to the standard of AO/OTA fracture type.

Table 1 Demographic Data of the Patients (n=29)

Values are presented as number (%), medians (range), or number only.

Table 2 Clinical Outcome of Communited Distal Radius Fracture according to Modified Mayo Wrist Scoring System

Values are presented as number (%) or number only. ^*Classification according to the standard of AO/OTA fracture type.

Table 3 Wrist Functional Outcomes at Last Follow-Up

The angle of the joint is shown in percentile compared to normal side. ^*Classification according to the standard of AO/OTA fracture type. VAS: Visual analogue pain scale.

Table 4 Radiological Outcomes Immediate Postoperative Date and Last Postoperative Follow-Up

Values are presented as mean±standard deviation.

Table 5 Results according to Sarmiento Criteria

Values are presented as number (%) or number only. ^*Classification according to the standard of AO/OTA fracture type.