Chul Hyun Cho; Ki Choer Bae; Doo Hyun Kwon

doi:10.12671/jkfs.2008.21.3.220

Articles

Page Path: HOME > J Musculoskelet Trauma > Volume 21(3); 2008 > Article

Original Article
Volar T-Locking Compression Plate for Treatment of Unstable Distal Radius Fractures: Chul Hyun Cho, M.D., Ki Choer Bae, M.D., Doo Hyun Kwon, M.D.; Journal of the Korean Fracture Society 2008;21(3):220-224.
DOI: https://doi.org/10.12671/jkfs.2008.21.3.220
Published online: July 31, 2008

Department of Orthopedic Surgery, College of Medicine, Keimyung University, Daegu, Korea.

Address reprint requests to: Ki Choer Bae, M.D. Department of Orthopedic Surgery, College of Medicine, Keimyung University, 194, Dongsan-dong, Jung-gu, Daegu 700-712, Korea. Tel: 82-53-250-7729, Fax: 82-53-250-7205, bkc@dsmc.or.kr

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.

120 Views
0 Download
7 Crossref

prev next

Full Article

Download PDF

Abstract
REFERENCES

Abstract

Purpose
To evaluate outcomes volar T-locking compression plate for treatment of unstable distal radius fractures.
Materials and Methods
We retrospectively analysed the results in 35 cases, which were treated by volar plating with T-LCP. We evaluated the clinical results according to the Mayo wrist scoring system and radiographic results.
Results
The mean score was 83.86 respectively. Between preoperative and immediate postoperative radiographic measurements, averaged radial length was improved from 5.75 mm to 11.53 mm, radial inclination from 12.86° to 22.56°, volar tilt from -3.64° to 9.90° and intraarticular step-off from 1.48 mm to 0.42 mm. Between immediate postoperative and latest follow-up radiographic measurements, mean loss of radial length measured 0.43 mm, radial inclination 0.46°, volar tilt 0.89°.
Conclusion
Treatment of unstable distal radius fractures using a volar T-LCP showed satisfactory outcomes. We think that it is good surgical option to allow return to daily living, result in early postsurgical wrist motion.
Key words: Distal radius, Unstable fracture, T-locking compression plate, Volar approach

REFERENCES

1. Arora R, Lutz M, Fritz D, Zimmermann R, Oberladstatter J, Gabl M. Palmar locking plate for treatment of unstable dorsal dislocated distal radius fractures. Arch Orthop Trauma Surg, 2005;125:399-404.Article PDF
2. Cheon SJ, Ku JK, Lee DH, Kim HT, Suh JT. Treatment of distal radius fractures using the percutaneous K-wire reduction-fixation and external fixation. J Korean Fract Soc, 2006;19:228-235.
3. Constantine KJ, Clawson MC, Stem PJ. Volar neutralization plate fixation of dorsally displaced distal radius fractures. Orthopedics, 2002;25:125-128.
4. Cooney WP. External fixation of distal radial fractures. Clin Orthop Relat Res, 1983;180:44-49.
5. Cooney WP, Bussey R, Dobyns JH, Linscheid RL. Difficult wrist fractures. Perilunate fracture-dislocations of the wrist. Clin Orthop Relat Res, 1987;214:136-147.
6. Cooney WP 3rd, Dobyns JH, Linscheid RL. Complications of Colles' fractures. J Bone Joint Surg Am, 1980;62:613-619.
7. Cooney WP 3rd, Linscheid RL, Dobyns JH. External pin fixation for unstable Colles' fractures. J Bone Joint Surg Am, 1979;61:840-845.
8. Frykman G. Fracture of the distal radius including sequalae shoulder-hand-finger syndrome, disturbance in the distal radioulnar joint and impairment of nerve function. A clinical and experimental study. Acta Orthop Scand, 1967;Suppl 108. 3+.
9. Herron M, Faraj A, Craigen MA. Dorsal plateing for displaced intra-articular fractures of the distal radius. Injury, 2003;34:497-502.
10. Horesh Z, Volpin G, Hoerer D, Stein H. The surgical treatment of severe comminuted intra-articular fractures of the distal radius with small AO external fixation device. A prospective three-and-one-half-year follow-up study. Clin Orthop Relat Res, 1991;263:147-153.
11. Huh CY, Yoon JR, Ha HS. Treatment of fractures of the distal radius with external fixator. J Korean Soc Fract, 1999;12:995-1002.
12. Kamano M, Honda Y, Kazuki K, Yasuda M. Palmar plating for dorsally displaced fractures of the distal radius. Clin Orthop Relat Res, 2002;397:403-408.
13. Knirk JL, Jupiter JB. Intra-articular fractures of the distal end of the radius in young abults. J Bone Joint Surg Am, 1986;68:647-659.
14. Koval KJ, Hoehl JJ, Kummer FJ, Simon JA. Distal femoral fixation: a biomechanical comprison of the standard condylar buttress plate, a locking buttress plate and the 95-degree blade plate. J Orthop Trauma, 1997;11:521-524.
15. Lafontaine M, Hardy D, Delince P. Stability assessment of distal radius fractures. Injury, 1989;20:208-219.
16. Leung F, Zhu L, Ho H, Lu WW, Chow SP. Palmar plate fixation of AO type C2 fracture of distal radius using a locking compression plate-a biomechanical study in a cadaveric model. J Hand Surg Br, 2003;28:263-266.
17. Lidstrom A. Fractures of distal end of the radius. A clinical and statistical study of end results. Acta Orthop Scand Suppl, 1959;41:1-118.
18. Lipton HA, Woollstein R. Operative treatment of intraarticular distal radius fractures. Clin Orthop Relat Res, 1996;327:110-124.
19. Lucas GL, Sachtjen KM. An analysis of hand function in patients with Colles' fracture treated by Rush rod fixation. Clin Orthop Relat Res, 1981;155:172-179.
20. Orbay JL. The treatment of unstable distal radius fractures with volar fixation. Hand Surg, 2000;5:103-112.
21. Park MJ, Ha SH. Treatment of intra-articular fractures of the distal radius using wrist arthroscopy. J Korean Orthop Assoc, 2004;39:258-264.
22. Ring D, Prommersberger K, Jupiter JB. Combined dorsal and volar plate fixation of complex fractures of the radius. J Bone Joint Surg Am, 2004;86:1646-1652.
23. Scheck M. Long-term follow-up of treatment of comminuted fractures of the distal end of the radius by transfixation with kirschner wires and cast. J Bone Joint Surg Am, 1962;44:337-351.
24. Sim JC, Chung NS, Hong KD, Ha SS, Kang JH. Treatment of fractures of the distal radius using locking compression plate. J Korean Fract Soc, 2005;18:100-104.
25. Trumble TE, Culp RW, Hanel DP, Geissler WB, Berger RA. Intra-articular fractures of the distal aspect of the radius. Instr Course Lect, 1999;48:465-480.
26. Wright TW, Horodyski M, Smith DW. Functional outcome of unstable distal radius fractures: ORIF with a volar fixed-angle tine plate versus external fixation. J Hand Surg Am, 2005;30:289-299.
27. Zimmermann R, Gabl M, Lutz M, Angermann P, Gschwentner M, Pechlaner S. Injectable calcium phosphate bone cement Norian SRS for the treatment of intra-articular compression fractures of the distal radius in osteoportic women. Arch Orthop Trauma Surg, 2003;123:22-27.

Fig. 1

51-year-old woman with unstable distal radius fracture was treated by open reduction and internal fixation with T-LCP.

(A) Preoperative radiographs show AO classification C2 fracture.

(B) Immediate postoperative radiographs show successful reduction and fixation.

(C) Radiographs at 8 months postoperatively show no significant loss of reduction.

Table 1

Clinical details of 35 patients with unstable distal radius fracture

Table 2

Results according to Mayo wrist score system

Table 3

Results according to the radiographic evaluation

^*S.D.: Standard deviation.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Treatment of Fractures of the Distal Radius Using Variable-Angle Volar Locking Plate
Jae-Cheon Sim, Sung-Sik Ha, Ki-Do Hong, Tae-Ho Kim, Min-Chul Sung
Journal of the Korean Fracture Society.2015; 28(1): 46. CrossRef
The Fate of Pronator Quadratus Muscle after Volar Locking Plating of Unstable Distal Radius Fractures
Chae-Hyun Lim, Heun-Guyn Jung, Ju-Yeong Heo, Young-Jae Jang, Yong-Soo Choi
Journal of the Korean Fracture Society.2014; 27(3): 191. CrossRef
2.4 mm Volar Locking Compression Plate for Treatment of Unstable Distal Radius Fractures
Sung-Jin Kim, Chul-Hyun Cho
Journal of the Korean Fracture Society.2011; 24(2): 151. CrossRef
Short Term Results of Operative Management with 2.4 mm Volar Locking Compression Plates in Distal Radius Fractures
Ki-Chul Park, Chang-Hun Lee
Journal of the Korean Fracture Society.2009; 22(4): 264. CrossRef
Plate Fixation of AO Type C3 Fractures of the Distal Radius
Eun-Sun Moon, Myung-Sun Kim, Hyeong-Won Park, Min-Sun Choi
Journal of the Korean Fracture Society.2009; 22(3): 172. CrossRef
Biosorption of Mercury (II) from Aqueous Solutions by Zygnema fanicum Algae
Gh. Shams Khoramabad, A. Jafari, J. Hasanvand Jamshidi
Journal of Applied Sciences.2008; 8(11): 2168. CrossRef
Volar Plating of Distal Radius Fractures
Kwang-Hyun Lee
Journal of the Korean Fracture Society.2008; 21(4): 325. CrossRef

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Volar T-Locking Compression Plate for Treatment of Unstable Distal Radius Fractures

J Korean Fract Soc. 2008;21(3):220-224. Published online July 31, 2008

DOI: https://doi.org/10.12671/jkfs.2008.21.3.220

XML Download

Figure

We recommend

Volar T-Locking Compression Plate for Treatment of Unstable Distal Radius Fractures

Fig. 1 51-year-old woman with unstable distal radius fracture was treated by open reduction and internal fixation with T-LCP. (A) Preoperative radiographs show AO classification C2 fracture. (B) Immediate postoperative radiographs show successful reduction and fixation. (C) Radiographs at 8 months postoperatively show no significant loss of reduction.

Fig. 1

Volar T-Locking Compression Plate for Treatment of Unstable Distal Radius Fractures

Table 1

Clinical details of 35 patients with unstable distal radius fracture

Table 2

Results according to Mayo wrist score system

Table 3

Results according to the radiographic evaluation

^*S.D.: Standard deviation.

Table 1 Clinical details of 35 patients with unstable distal radius fracture

Table 2 Results according to Mayo wrist score system

Table 3 Results according to the radiographic evaluation

^*S.D.: Standard deviation.