Operative Technique: Use of a Volar Plate for Restoration of Volar Tilt Intra-operatively
نویسنده
چکیده
UNIVERSITY OF PENNSYLVANIA ORTHOPAEDIC JOURNAL comminution. Correction to a volar tilt of 11 1/2 5 degrees has been shown to restore biomechanical function of the wrist. Prior to the use of volar locking plates, in order to restore volar tilt it would be necessary to use a dorsal approach, bone graft, and a dorsal plate. In the case discussed in this paper osteotomy and bone graft was used due to delay in presentation, but this technique can be extrapolated to fractures in which osteotomies are not needed but volar tilt needs to be restored.
منابع مشابه
Use of Volar Locking Plate Versus Intramedullary Nailing for Fixation of Distal Radius Fractures: A Retrospective Analysis of Clinical and Radiographic Outcomes
BACKGROUND The objective of this study was to evaluate clinical and radiographic outcomes of volar plate versus intramedullary nailing for fixation of distal radius fractures. MATERIAL AND METHODS This retrospective study included 64 patients with extra-articular and simple intra-articular fractures of the distal radius who underwent intramedullary fixation using volar locking plate (n=35, mean...
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Restoration of volar tilt is critical when performing open reduction and internal fixation of distal radius fractures. A reproducible technique is required to consistently achieve this goal. A simple technique using the locking plate and an electrocautery scratch pad as reduction tools can reliably generate volar tilt. This technique can be performed with minimal aid from surgical assistants.
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INTRODUCTION Distal radius fracture (DRF) accompanied by intra-articular volar displaced fragment is difficult to reduce. This volar fragment remains when treated with a simple buttress effect alone, and V-shaped deformity may remain on the articular surface. We attempted to improve dorsal rotational deviation of volar fragment by osteosynthesis applying the condylar stabilizing technique. We r...
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Complications have often been reported in the literature after distal radius fractures treated conservatively or operatively [1-3]. Previously, the main indication for volar plating was a volar Barton or Smith fracture, but now volar locking plates are the most commonly used treatment for unstable distal radius fractures and during the last decade this method has become increasingly popular [4]...
متن کاملOsteotomy of the Distal Radius Using a Fixed-angle Volar Plate.
OBJECTIVE Skewed consolidation of the distal radius, due to sequelae of fractures, may cause functional incapacity, thus leading such patients to present pain, loss of strength and diminished mobility. Based on the excellent results obtained from surgical treatment of unstable fractures of the distal radius through a volar approach and use of rigid fixation with a fixed-angle volar plate, we st...
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تاریخ انتشار 2016