Journal Article10.1007/S00402-017-2759-Y
Comparison of lateral and skyline fluoroscopic views for detection of prominent screws in distal radius fractures plating: results of an ultrasonographic study
Olivier Herisson,Caroline Delaroche,Sandrine Maillot-Roy,Alain Sautet,Levon Doursounian,Adeline Cambon-Binder +5 more
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TL;DR: The Skyline view with traditional lateral fluoroscopic views using ultrasonography as a reference standard in the postoperative assessment does not provide sensitive and reliable detection of the dorsal screw penetration.
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Abstract: Extensor tendon rupture is a recognized complication of volar plate fixation of distal radius fractures due to screws protruding past the dorsal cortex. The aim of this study was to compare the Skyline view with traditional lateral fluoroscopic views using ultrasonography as a reference standard in the postoperative assessment. A monocentric prospective study was conducted to identify screws penetrating the dorsal cortex after volar plating of distal radius fractures. Intraoperative anteroposterior (AP) and lateral views were used for group A (28 patients). AP, lateral and skyline fluoroscopic views were used for Group B (40 patients). Prominent screws were changed. Main outcome measurements: Ultrasound was done 6 months postoperatively to evaluate the number and length of prominent dorsal screws and any signs of extensor tenosynovitis. The number of prominent dorsal screws exceeding 1 mm was 14 in group A (14.9%), and 16 screws (11.8%) in group B (p = 0.487). Average length of prominent dorsal screw was 1.9 mm (range 1–2.1 mm) for group A and 2.4 mm (range 1.1–4.8 mm) for group B (p = 0.534). The number of patients with extensor tenosynovitis was 11 for group A and 12 for group B (p = 0.66). The Skyline view does not provide sensitive and reliable detection of the dorsal screw penetration. Intraoperative ultrasound might be a better tool to detect screw prominence. III, case–control study.
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Citations
Early complications and radiological outcome after distal radius fractures stabilized by volar angular stable locking plate.
S. Quadlbauer,Ch. Pezzei,J Jurkowitsch,R Rosenauer,A Pichler,S Schättin,T Hausner,M. Leixnering +7 more
TL;DR: Stabilization of DRF by palmar angular stable locking plate is a safe form of treatment and an age over 65 years is not associated with an increased risk for complications or restricted ROM.
51
Biomechanical considerations on a CT-based treatment-oriented classification in radius fractures
W. Hintringer,R Rosenauer,Ch. Pezzei,S. Quadlbauer,J Jurkowitsch,T. Keuchel,T Hausner,M. Leixnering,H. Krimmer +8 more
TL;DR: This article attempts to define certain key fragments, which seem crucial to reduce and stabilize each type of DRF, and an ideal implant can be selected to sufficiently maintain reduction of these key fragments.
Salvage procedure after malunited distal radius fractures and management of pain and stiffness
Tina Keuchel-Strobl,S. Quadlbauer,J Jurkowitsch,R Rosenauer,T Hausner,M. Leixnering,Ch. Pezzei +6 more
TL;DR: The therapeutic options available to treat degenerative osteoarthritis after malunited distal radius fractures, regardless of the initial operative or conservative treatment are summarized.
20
Three-dimensional kinematics of the flexor pollicis longus tendon in relation to the position of the FPL plate and distal radius width
TL;DR: The results show that the indentation of the Medartis® APTUS® FPL plate reduces the tendon-plate contact and ideally even prevents it entirely and the Soong criteria are not applicable when a FPL Plate is used.
20
Volar Plating: Imaging Modalities for the Detection of Screw Penetration.
Minke Bergsma,Minke Bergsma,Katharina Denk,Job N. Doornberg,Job N. Doornberg,Michel P.J. van den Bekerom,Gino M. M. J. Kerkhoffs,Ruurd L. Jaarsma,Miryam C. Obdeijn +8 more
TL;DR: Of all additional fluoroscopic views, the DTV is most studied and proves to be practical and time efficient, with higher efficacy, accuracy, and reliability compared with conventional views.
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M. E. Müller
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TL;DR: Preoperative Planning and Principles of Reduction, and Pre-, Intra- and Postoperative Guidelines, are presented.
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Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate.
TL;DR: Analysis of the clinical and radiological outcomes of patients with displaced, unstable distal radius fractures treated with a palmar fixed-angle plate found fixation of unstable dorsally displaced distal Radius fractures with a fixed angle plate provides sufficient stability with minimal loss of reduction.
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A Prospective Randomized Trial Comparing Nonoperative Treatment with Volar Locking Plate Fixation for Displaced and Unstable Distal Radial Fractures in Patients Sixty-five Years of Age and Older
TL;DR: Comparing the outcomes of two methods used for the treatment of displaced and unstable distal radial fractures in patients sixty-five years of age or older found no significant differences between the groups in terms of the range of motion or the level of pain.
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Treatment of Unstable Distal Radial Fractures with the Volar Locking Plating System
TL;DR: The volar locking plating system appears to provide effective fixation when used for the treatment of initially inadequately reduced distal radial fractures, with small continued improvement to one year.
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