Hook Plate for Volar Rim Fractures of the Distal Radius: Review of the First 23 Cases and Focus on Dorsal Radiocarpal Dislocation

被引:15
作者
Biondi, Marco [1 ]
Keller, Marco [2 ]
Merenghi, Letizia [3 ]
Gabl, Markus [2 ]
Lauri, Giulio [1 ]
机构
[1] Azienda Osped Univ Careggi, Hand Surg Unit, Largo Palagi 1, Florence, Italy
[2] Med Univ Innsbruck, Dept Trauma Surg, Div Hand Surg, Innsbruck, Austria
[3] Osped Maggiore Parma, Orthoped Clin, Parma, Italy
关键词
volar rim; hook plate; radiocarpal dislocation; distal radius fractures; volar locking plate; LUNATE FACET; INTRAARTICULAR FRACTURES; ARTICULAR FRACTURES; FRAGMENT; FIXATION; PART;
D O I
10.1055/s-0038-1667306
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background Fragment-specific fixation of the distal radius is born to fix each articular fragment with limited surgical approach and low-profile devices. Over time, many devices with different designs and characteristics have been developed. However, many of them have showed the inability to securely fix marginal, small, and comminuted fragments as bony ligament avulsions and bony compression injuries. Purpose The purpose of this study was to evaluate the clinical and radiological outcome of a new device born to treat marginal articular fractures of the distal radius. Patients and Methods A retrospective review was conducted on 23 patients with a mean follow-up of 21 months including postoperative clinical evaluation, grip strength, computed tomography scan, and X-ray control. Results All fragments healed and maintained reduced until the final follow-up. The carpus was aligned with the distal radius in all patients presenting with a radiocarpal dislocation. Conclusion The volar rim fragment is an attachment site for the short radiolunate and the volar distal radioulnar ligament. Its unstable fixation can lead to articular incongruity, volar or dorsal subluxation of the carpus, and distal radioulnar instability. The involvement of this fragment on distal radius fractures is relatively common and many studies of the literature have been focused on its treatment. The Hook Plate stabilizes distal fragments at their bone-ligament interface. In addition to bony reduction, the device permits to stabilize the capsule and ligaments, as volar bony ligament avulsions, in a picture of dorsal radiocarpal dislocation.
引用
收藏
页码:93 / 99
页数:7
相关论文
共 20 条
[1]   The volar extension of the lunate facet of the distal radius: A quantitative anatomic study [J].
Andermahr, Jonas ;
Lozano-Calderon, Santiago ;
Trafton, Ted ;
Crisco, Joseph J. ;
Ring, David .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2006, 31A (06) :892-895
[2]   Beware of the ulno-palmar distal radial fragment [J].
Apergis, E ;
Darmanis, S ;
Theodoratos, G ;
Maris, J .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 2002, 27B (02) :139-145
[3]   Volar Plate Fixation Failure for Volar Shearing Distal Radius Fractures With Small Lunate Facet Fragments [J].
Beck, John D. ;
Harness, Neil G. ;
Spencer, Hillard T. .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2014, 39 (04) :670-678
[4]   The outcome of intra-articular distal radius fractures treated with fragment-specific fixation [J].
Benson, Leon S. ;
Minihane, Keith P. ;
Stern, Laura D. ;
Eller, Erik ;
Seshadri, Roopa .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2006, 31A (08) :1333-1339
[5]  
Chin KR, 1999, J HAND SURG-AM, V24A, P525
[6]  
Geissler W B, 1991, J Orthop Trauma, V5, P255, DOI 10.1097/00005131-199109000-00002
[7]   UNUSUAL FRAGMENT DISPLACEMENT IN A DISTAL RADIUS FRACTURE [J].
HALBRECHT, JL ;
STUCHIN, SA .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1988, 13A (05) :746-749
[8]   Loss of fixation of the volar lunate facet fragment infractures of the distal part of the radius [J].
Harness, NG ;
Jupiter, JB ;
Orbay, JL ;
Raskin, KB ;
Fernandez, DL .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (09) :1900-1908
[9]   Operative treatment of volar intra-articular fractures of the distal end of the radius [J].
Jupiter, JB ;
Fernandez, DL ;
Toh, CL ;
Fellman, T ;
Ring, D .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1996, 78A (12) :1817-1828
[10]  
Mall Nathan A, 2013, Am J Orthop (Belle Mead NJ), V42, P331