Background: The goals of fingertip reconstruction are to achieve adequate soft-tissue coverage and a functional nail plate and to maintain sensation, proprioception, and cosmesis. Objective: We present a composite tissue graft and volar V-Y advancement flap for reconstruction of a traumatic amputation of a fingertip, which provided optimal preservation of the hyponychium and the volar pad for p...

This is a case report of a 58-year-old obese, diabetic female who sustained a dorsally angulated distal radius fracture, treated with a volar locking plate. Union was delayed and the plate broke. The fracture healed after repeated surgery involving replacement of the plate and grafting with demineralised bone matrix. Delayed unions of distal radius fractures are rare. This case shows that fract...

1. Beck J, Harness N, Spencer H. Volar plate fixation failure for volar shearing distal radius fractures with small lunate facet fragments. J Hand Surg Am. 2014;39(4): 670e678. 2. Andermahr J, Lozano-Calderon S, Trafton T, Crisco J, Ring D. The volar extension of the lunate facet of the distal radius: a quantitative anatomic study. J Hand Surg Am. 2006;31(6):892e895. 3. Kitay A, Mudgal C. Volar...

BACKGROUND The dorsal tangential (DT) view has been shown to improve the detection of dorsal screw perforation during volar distal radius fracture fixation. Here we performed a cadaveric imaging survey study to evaluate if the DT view was uniformly beneficial for all screws. METHODS Standardized placement of fixed-angle volar distal radius plates was performed on two cadavers. Fluoroscopic im...

OBJECTIVES To analyze and correlate the clinical and radiographic results from patients with distal radius fractures who underwent surgical treatment with a fixed-angle volar locked plate. METHODS Sixty-four patients with distal radius fractures were evaluated. They all underwent surgical treatment with a volar locked plate for the distal radius, with a minimum of six months of postoperative ...

BACKGROUND Distal radius fractures (DRFs) are much more prone to malunion than unstable extra-articular fractures. There is no clear consensus concerning what the proper treatment should be, and the best approach to use for displaced DRFs remains challenging. OBJECTIVE To compare the effect of two different therapeutic surgical methods, i.e., volar plate fixators and external fixators, on out...

PURPOSE To evaluate the natural history and etiology of decreased thumb interphalangeal (IP) joint flexion after volar plate fixation of distal radius fractures. METHODS A total of 46 patients who underwent volar plating of 48 distal radius fractures by a single surgeon were retrospectively studied. Of those patients, 24 (24 wrists) exhibited loss of thumb IP joint flexion (group 1) and 22 (2...