Plate fixation of distal radius fracture and related complications

被引：9

作者：

Obert L. ^{[1
]}

Loisel F. ^{[1
]}

Huard S. ^{[2
]}

Rochet S. ^{[1
]}

Lepage D. ^{[1
]}

Leclerc G. ^{[1
]}

Garbuio P. ^{[1
]}

机构：

[1] Service de Chirurgie Orthopédique, Traumatologique, Plastique et Reconstructrice, Assistance main, CHU J. Minjoz, 3 Bd A. Fleming, Besançon

[2] Clinique Belledonne, 83 av. Gabriel Péri, Saint Martin d’Hères

来源：

European Journal of Orthopaedic Surgery & Traumatology | 2015年 / 25卷 / 3期

关键词：

Complications; Distal radius fracture; Osteosynthesis; Volar plate;

D O I：

10.1007/s00590-014-1550-9

中图分类号：

学科分类号：

摘要：

Introduction: Distal radius fractures are common. In cases where surgical treatment is needed, volar plates can be used to obtain stable, long-lasting fixation. The design of these plates has continually improved over the years, but complications remain a problem. Purpose: The goal of this study was to evaluate the types of complications that occur with different types of volar plates with a view towards preventing them. Materials and methods: The emergency department at our hospital saw 524 patients with distal radius fractures between 2006 and 2008. Some of these were treated surgically with a volar plate. All of the post-operative complications were documented. Results: With a minimum follow-up of 6 months, 152 patients who had undergone plate fixation were reviewed: 31 had received plates with non-locking screws or uniaxial locking screws and 121 had received plates with polyaxial locking screws. The complication rate was similar in these two groups (16.1 and 16.5 %, respectively). The main complications were tendon ruptures and problems related to the plate itself. Discussion: Plate-related complications have been described in published studies, but few of these studies link them to the plate design or surgical technique. Manufacturers must continue to refine these plates to minimise their thickness while keeping their strength. Surgeons must be sure to use a highly exacting technique. © 2014, Springer-Verlag France.

引用

页码：457 / 464

页数：7

共 33 条

[1]

Dumontier C., Herzberg G., Symposiums-Recent fractures of the distal radius in adults, Rev Chir Orthop 87(5):1S67, (2001)

[2]

Obert L., Fixation of distal radius fracture in adult (Ostéosynthèse des fractures récentes de l’extrémité distale du radius de l’adulte). Conférences d’enseignement Sofcot 2010, Elsevier, pp. 48-79, (2010)

[3]

Egol K.A., Kubiak E.N., Fulkerson E., Kummer F.J., Koval K.J., Biomechanics of locked plates and screws, J Orthop Trauma, 18, pp. 488-493, (2004)

[4]

Pichon H., Chergaoui A., Jager S., Carpentier E., Jourdel F., Chaussard C., Saragaglia D., Volar fixed angle plate LCP 3.5 for dorsally distal radius fracture. About 24 cases, Rev Chir Orthop Rep Appar Mot, 94, pp. 152-159, (2008)

[5]

Sakhaii M., Groenewold U., Klonz A., Reilmann H., Results after palmar plate-osteosynthesis with angularly stable T-plate in 100 distal radius fractures: a prospective study, Unfallchirurg, 106, pp. 272-280, (2003)

[6]

Gasse N., Lepage D., Pem R., Bernard C., Lerais J.M., Garbuio P., Obert L., Anatomical and radiological study applied to distal radius surgery, Surg Radiol Anat, 33, pp. 485-490, (2011)

[7]

Laulan J., Bismuth J.P., Sicre G., Garaud P., The different types of algodystrophy after fracture of the distal radius: predictive criteria of outcome after 1 year, J Hand Surg: Br Eur, 22, pp. 441-447, (1997)

[8]

Sennwald G.R., Della Santa D., Unstable fracture of the distal radius and its treatment: comparison of three techniques: external fixation, intramedullary pinning and AO plates, Chir Main, 20, pp. 218-225, (2001)

[9]

Arora R., Lutz M., Hennerbichler A., Krappinger D., Espen D., Gabl M., Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate, J Orthop Trauma, 21, pp. 316-322, (2007)

[10]

Kaempffe F.A., Wheeler D.R., Peimer C.A., Hvisdak K.S., Ceravolo J., Senall J., Severe fractures of the distal radius: effect of amount and duration of external fixator distraction on outcome, J Hand Surg Am, 18, pp. 33-41, (1993)

← 1 2 3 4 →