Tronco-conical locking plate in distal radius fractures

Copyright © 2020. Published by Elsevier Ltd..

INTRODUCTION: Volar locked plates represent the most popular fixation technique for distal radius fracture (DRF). However, threaded screw-hole angular stability mechanism has some issues. The purpose of our study is to evaluate clinical and radiological outcome of a tronco-conical locking mechanism for volar plating of DRF.

MATERIALS AND METHODS: Eighty patients with DRF treated with tronco-conical locking volar plates between May 2013 to December 2017 in two institutions were collected. We analysed clinical and radiological outcomes and peri-operative complications, like loss of reduction, fragment displacement, deformation or implant-related problems and surgical and other general complications.

RESULTS: 78 patients were available for at final follow-up. The average follow-up period was 11.4 months (range, 6-18 months). All fractures healed within three months. Five cases of final reductions were defined unsatisfying. According to Gartland and Werley's scoring system at final follow up, 36 patients had excellent results, 40 patients had good results, one patient had fair and one patient had poor results. Five complications were observed. No complications were observed during surgical plate removal.

CONCLUSION: Complications found in our study are not related to tronco-conical locking mechanism and are like those found in the literature. Further studies are needed to evaluate functional results or radiographic parameters of this new type of angular stability mechanism. Tronco-conical locking plate is an attractive alternative threaded screw-hole angular stability mechanism.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:53 Suppl 1

Enthalten in:

Injury - 53 Suppl 1(2022) vom: 17. März, Seite S19-S22

Sprache:

Englisch

Beteiligte Personen:

Maiello, Alessio [VerfasserIn]
Rivera, Fabrizio [VerfasserIn]
Maniscalco, Pietro [VerfasserIn]
Colombo, Massimiliano [VerfasserIn]
Di Stefano, Giovanni [VerfasserIn]
Quattrini, Fabrizio [VerfasserIn]

Links:

Volltext

Themen:

Angular stability
Distal radius fractures
Journal Article
O'Nil plate
Tronco-conical locking plate
Volar plate

Anmerkungen:

Date Completed 22.03.2022

Date Revised 22.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.injury.2020.10.084

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM31726303X