BACKGROUND Fractures and dislocations of the proximal interphalangeal (PIP) joint of the fingers are among the most common causes of injury in the hand. Objective assessment of the kinematic alterations occurring when the supporting structures are disrupted is critical to obtain a more accurate indication of joint stability. METHODS An in vitro cadaver model of the hand was used to evaluate t...

Introduction Recently, the technique of minimally invasive plate osteosynthesis (MIPO) can also be applied to volar locking plates in distal radius fractures. The advantages of MIPO are fracture healing, a quick return to activities of daily life, and cosmetics as a result of the preservation of the soft tissue compared with conventional plate osteosynthesis. The purpose of the present study wa...

PURPOSE To evaluate and compare the biomechanical properties of 8 different locked fixed-angle volar distal radius plates under conditions designed to reflect forces seen in early fracture healing and postoperative rehabilitation. METHODS We evaluated the Acumed Acu-Loc (Acumed, Hillsboro, OR), Hand Innovations DVR (Hand Innovations, Miami, FL), SBi SCS volar distal radial plate (Small Bone I...

Editorial to accompany the article: „The treatment of displaced intraarticular distal radius fractures in elderly patients—a randomized multicenter study (ORCHID) of open reduction and volar locking plate fixation versus closed reduction and cast immobilization“ by Christoph Bartl, Dirk Stengel et al. in this issue of Deutsches Ärzte blatt International in stage 5 do randomized studies compare ...

AIM For surgical treatment of unstable distal radius fractures, fixed-angled locking volar plate fixation is becoming popular nowadays because of some advantages over other surgical techniques. In this article, we discuss the fitting of fixed-angle locking volar plates to the distal radius in relation to the changes in the distal radial angles. MATERIALS AND METHODS First, we took conventiona...

The aim of this study was to compare bridging external fixation with volar locked plating in patients with unstable distal radial fractures regarding functional outcome. A systematic search was performed in the Cochrane Central Register of Controlled Trials, Medline and EMBASE. All randomized controlled trials that compared bridging external fixation directly with volar locked plating in patien...

Open reduction and internal fixation has been shown to be effective in the treatment of unstable distal radius fractures. When a dorsal approach is used, extensor tendons rupture or irritation are frequent and well known complications. Complications associated with volar plate fixation have not been studied to the same extent. In this study a homogenous series of 90 patients treated by volar pl...

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]...

BACKGROUND Fracture-dislocation of the proximal interphalangeal (PIP) joint is a relatively common injury. Various treatments for fracture-dislocation of the PIP joint have been reported. In the present study, we performed open reduction through a midlateral incision using absorbable sutures to reduce the small bone fragments and performed volar plate repair. METHODS We treated nine patients ...

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 ...