Abstract
Objective: The aim of this study was to present a technique that allows the surgeon to easily and reliably achieve volar tilt in dorsally displaced distal radius fractures treated with variable-angle volar locking plates. The study introduced this technique using 2.4 mm variable angle locking screws as reduction tools, and investigated the radiological outcomes of this technique. Methods: A total of 42 patients (30 female and 12 male; mean age: 58 years, range, 25 to 84 years) with unstable distal radius fractures were treated with this technique. All were patients with insufficient volar tilt in spite of primary fracture reduction through classic reduction techniques such as traction, manipulation, and direct fragment manipulation. Postoperatively, the patients were instructed to perform wrist active and passive motion exercises at home for minimum 30 minutes a day, and were allowed to perform activities of daily living after removal of splint. The patients were evaluated radiographically at minimum twelve months after surgery. Results: Mean follow-up period was 15.1 months (range: 12 to 24 months). Volar tilt of the distal radius before surgery was -11.9±10.4 (minus value means dorsal angulation), and after screw leverage was 11.5±4.3° (uninjured side: 11.7±2.3°). Mean radiological outcomes at final visit were as follows: volar tilt; 10.8±4.5°, radial inclination; 24±3.2°, radial height; 12.2±1.7 mm, and ulnar variance; 0.2±1.7 mm. Conclusion: We describe a simple, reliable technique to fine-tune volar tilt in dorsally displaced distal radius fractures fixed with variable-angle volar locking plates. This technique is especially useful when volar tilt remains insufficient in spite of primary fracture reduction through classic techniques.
| Original language | English |
|---|---|
| Pages (from-to) | 115-119 |
| Number of pages | 5 |
| Journal | Acta Orthopaedica et Traumatologica Turcica |
| Volume | 49 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2015 |
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Keywords
- Distal radius fracture
- Reduction technique
- Screw leverage
- Variable angle locking plate
- Volar locking plate
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery
Cite this
A novel technique for full anatomic restoration of volar tilt in distal radius fracture. / Park, Jong Woong; Kim, Young Hwan; Park, Ki Chul; Lee, Jung Il.
In: Acta Orthopaedica et Traumatologica Turcica, Vol. 49, No. 2, 2015, p. 115-119.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A novel technique for full anatomic restoration of volar tilt in distal radius fracture
AU - Park, Jong Woong
AU - Kim, Young Hwan
AU - Park, Ki Chul
AU - Lee, Jung Il
PY - 2015
Y1 - 2015
N2 - Objective: The aim of this study was to present a technique that allows the surgeon to easily and reliably achieve volar tilt in dorsally displaced distal radius fractures treated with variable-angle volar locking plates. The study introduced this technique using 2.4 mm variable angle locking screws as reduction tools, and investigated the radiological outcomes of this technique. Methods: A total of 42 patients (30 female and 12 male; mean age: 58 years, range, 25 to 84 years) with unstable distal radius fractures were treated with this technique. All were patients with insufficient volar tilt in spite of primary fracture reduction through classic reduction techniques such as traction, manipulation, and direct fragment manipulation. Postoperatively, the patients were instructed to perform wrist active and passive motion exercises at home for minimum 30 minutes a day, and were allowed to perform activities of daily living after removal of splint. The patients were evaluated radiographically at minimum twelve months after surgery. Results: Mean follow-up period was 15.1 months (range: 12 to 24 months). Volar tilt of the distal radius before surgery was -11.9±10.4 (minus value means dorsal angulation), and after screw leverage was 11.5±4.3° (uninjured side: 11.7±2.3°). Mean radiological outcomes at final visit were as follows: volar tilt; 10.8±4.5°, radial inclination; 24±3.2°, radial height; 12.2±1.7 mm, and ulnar variance; 0.2±1.7 mm. Conclusion: We describe a simple, reliable technique to fine-tune volar tilt in dorsally displaced distal radius fractures fixed with variable-angle volar locking plates. This technique is especially useful when volar tilt remains insufficient in spite of primary fracture reduction through classic techniques.
AB - Objective: The aim of this study was to present a technique that allows the surgeon to easily and reliably achieve volar tilt in dorsally displaced distal radius fractures treated with variable-angle volar locking plates. The study introduced this technique using 2.4 mm variable angle locking screws as reduction tools, and investigated the radiological outcomes of this technique. Methods: A total of 42 patients (30 female and 12 male; mean age: 58 years, range, 25 to 84 years) with unstable distal radius fractures were treated with this technique. All were patients with insufficient volar tilt in spite of primary fracture reduction through classic reduction techniques such as traction, manipulation, and direct fragment manipulation. Postoperatively, the patients were instructed to perform wrist active and passive motion exercises at home for minimum 30 minutes a day, and were allowed to perform activities of daily living after removal of splint. The patients were evaluated radiographically at minimum twelve months after surgery. Results: Mean follow-up period was 15.1 months (range: 12 to 24 months). Volar tilt of the distal radius before surgery was -11.9±10.4 (minus value means dorsal angulation), and after screw leverage was 11.5±4.3° (uninjured side: 11.7±2.3°). Mean radiological outcomes at final visit were as follows: volar tilt; 10.8±4.5°, radial inclination; 24±3.2°, radial height; 12.2±1.7 mm, and ulnar variance; 0.2±1.7 mm. Conclusion: We describe a simple, reliable technique to fine-tune volar tilt in dorsally displaced distal radius fractures fixed with variable-angle volar locking plates. This technique is especially useful when volar tilt remains insufficient in spite of primary fracture reduction through classic techniques.
KW - Distal radius fracture
KW - Reduction technique
KW - Screw leverage
KW - Variable angle locking plate
KW - Volar locking plate
UR - http://www.scopus.com/inward/record.url?scp=84930461536&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84930461536&partnerID=8YFLogxK
U2 - 10.3944/AOTT.2015.14.0247
DO - 10.3944/AOTT.2015.14.0247
M3 - Article
C2 - 26012930
AN - SCOPUS:84930461536
VL - 49
SP - 115
EP - 119
JO - Acta Orthopaedica et Traumatologica Turcica
JF - Acta Orthopaedica et Traumatologica Turcica
SN - 1017-995X
IS - 2
ER -