Journal Article10.1007/S00402-020-03372-Z
Complications after operatively treated distal radius fractures
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TL;DR: The main aim of this review is to summarize the most common complications and possible therapeutic solutions in distal radius fractures.
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Abstract: In the recent years, treatment of distal radius fractures (DRF) has advanced considerably. Surgical fixation with palmar angular stable plate has gained popularity, due to a reported lower complication rate when compared to dorsal fixation. The type of trauma or injury, surgical procedure and impaired bone quality are all contributors to complications in DRF. The main aim of this review is to summarize the most common complications and possible therapeutic solutions. In addition, strategies for minimizing these complications will be discussed.
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Citations
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.
Indications, surgical approach, reduction, and stabilization techniques of distal radius fractures.
M. Leixnering,R Rosenauer,Ch. Pezzei,J Jurkowitsch,T. Beer,T. Keuchel,D. Simon,T Hausner,S. Quadlbauer +8 more
TL;DR: The available evidence for indications, approaches, reduction, and fixation techniques in treating DRF is addressed and which operative approach and fixation technique would produce the best postoperative functional results with lowest complication rates is addressed.
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Arthroscopic assisted treatment of distal radius fractures and concomitant injuries
TL;DR: The literature that the functional outcome correlates with the use of arthroscopy, is limited, and insight into the authors’ opinions and practice is given.
Functional and radiological outcome of distal radius fractures stabilized by volar-locking plate with a minimum follow-up of 1 year.
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 results in a good clinical and radiological outcome with low complication rate, according to a main aim of this study.
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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.
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References
Functional and Radiographic Outcomes of the Sauvé-Kapandji and Darrach Procedures in Rheumatoid Arthritis.
Hannah M. Carl,Scott D. Lifchez +1 more
TL;DR: No evidence that the S-K procedure is superior to the Darrach procedure or vice versa is found, however, when surgery is indicated for younger RA patients with DRUJ disease and ulnar translation, theS-K may be better suited to prevent radiocarpal joint dislocation.
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> 10-year outcome of dislocated radial fractures with concomitant intracarpal lesions as proven by MRI and CT
TL;DR: It is suggested that concomitant carpal lesions are primarily prevalent and detectable in (nearly) all dislocated DRF cases, however, with the usual protection of the wrist and the carpus after surgical treatment of DRF, these lesions often do not decompensate or require treatment, even after 10 years.
12
Open reduction and fixation with a locking plate without bone grafting is a reasonable and safe option for treating proximal humerus nonunion
TL;DR: Open reduction and locking plate fixation without bone grafting is a reasonable and safe option for treating proximal humerus nonunion and leads to a high union rate, significant improvement in ROM, and in the majority of the cases to an “excellent” and “good” functional outcome without an increased risk of complications.
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Dorsal screw penetration following implant removal after volar locked plating of distal radius fracture
TL;DR: A case of a 38-year-old patient who was treated using a palmar locking plate for a distal radius fracture, one of the screw shanks left in situ penetrated the dorsal cortex of thedistal radius into the third extensor tendon compartment and led to irritation of the extensor pollicis longus tendon.
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Miniplates as augmentation implants in osteosynthesis of complex distal radial fractures
TL;DR: The supplementary application of mini plates, as employed in maxillofacial surgery, is a helpful tool for reduction and fixation in complex distal radial fractures with multiple joint fragments.
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