Open AccessTreatment of highly comminuted distal radius fractures with temporary distraction plate
Author(s) -
Cindy Bouvet,
Christina Steiger,
A. De Smet,
M. Loret,
Philippe Vostrel,
JeanYves Beaulieu
Publication year - 2017
Publication title -
hand and microsurgery
Language(s) - English
Resource type - Journals
ISSN - 2458-7834
DOI - 10.5455/handmicrosurg.238203
Subject(s) - medicine , radius , distraction , distal radius fracture , orthodontics , surgery , computer science , wrist , psychology , cognitive psychology , computer security
Surgical treatment of highly comminuted distal radius fractures in elderly patients with poor bone quality or in polytrauma patients is a technical challenge.Aim: The aim of this study was to evaluate the results of temporary bridge plating in these patients.Method: A retrospective review using data from 21 patients undergoing temporary bridge plating in our department was performed. All patients had fractures classified as type C3 by AO classification. To achieve optimal joint surface reduction, supplementary fixation was necessary in all cases. Data was evaluated for clinical and radiological parameters.Results: Radiological results showed a mean post-operative positive ulnar variance of 1.2 mm, mean radial inclination of 18° and a mean radial length of 10 mm. Furthermore, correlations between fracture patterns and ligament injuries were analyzed.Conclusion: Temporary bridge plating is indicated in the treatment of highly comminuted distal radius fractures in elderly patients with poor bone quality and young polytrauma patients. (Level of evidence: Level 4) [Hand Microsurg 2017; 6(3.000): 110-119