medigraphic.com
ISSN 1025-0255 (Electronic)

2019, Number 1

<< Back Next >>

AMC 2019; 23 (1)

Surgical treatment of distal radius fractures with locked double column volar plate Synthes®

Hernández-González EH, Mosquera-Betancourt G, Quesada-Rodríguez R

Language: Spanish
References: 11
Page: 122-130
PDF size: 504.34 Kb.


ABSTRACT

Background: distal radius fractures are the most common fracture of the upper limbs. The employment of locked volar plates has gained wide usage due to they offer many advantages.
Objective: to present the first case in Camagüey´s province surgically treated by locked double column volar plate Synthes® at the Universitary Hospital Manuel Ascunce Domenech with favorable clinical evolution.
Clinical case: a 65-year-old feminine patient who suffered a fall of her feet with support of the right hand with the wrist in extension. She comes to the emergency room with swelling in the right wrist, pain to mobilization and relative functional impotency. Distal radius plain radiography showed on AP view: inadmissible decrease of radial tilt of seven degrees and alienation of radial and cubital styloids. On lateral view was seen an inversion of the radial volar tilt of 12 degrees. Surgical treatment was decided because of the unstable and inadmissible radiological pattern. An open reduction and internal fixation was carried out with double column volar plate Synthes®.
Conclusions: double column volar plate Synthes® for distal radius fractures is presented as a versatile internal fixation device which is able for the majority of the fractures around that region. A number of advantages are awarded to them that make them ideal in order to obtained good functional results with a low percentages of complications.


REFERENCES

  1. Skouras E, Hosseini Y, Berger V, Wegmann K, Koslowsky TC. Operative treatment and out-come of unstable distal radial fractures using a palmar T-miniplate at a non-specialized institu-tion. Strategies Trauma Limb Reconstr [Internet]. 2013 Nov [citado 14 Abr 2018];8(3):[aprox. 6 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3800516/.

  2. Kotian P, Mudiganty S, Annappa R, Austine J. Radiological Outcomes of Distal Radius Frac-tures Managed with 2.7mm Volar Locking Plate Fixation-A Retrospective Analysis. J Clin Diagn Res [Internet]. 2017 Jan [citado 14 Abr 2018];11(1):[aprox. 3 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5324455/.

  3. Khatri K, Sharma V, Farooque K, Tiwari V. Surgical Treatment of Unstable Distal Radius Fractures With a Volar Variable-Angle Locking Plate: Clinical and Radiological Outcomes. Arch Trauma Res [Internet]. 2016 May [citado 14 Abr 2018];5(2):[aprox. 4 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5035514/.

  4. Raduan Neto J, Ynoe de Moraes V, Gomes dos Santos JB, Faloppa F, Belloti JC. Treatment of reducible unstable fractures of the distal ra-dius: randomized clinical study comparing the locked volar plate and external fixator meth-ods: study protocol. BMC Musculoskelet Disord [Internet]. 2014 Mar [citado 14 Abr 2018];15:[aprox. 3 p.]. Disponible en: http://www.ncbi.nlmnih.gov/p mc/ar ticles/PMC3996038/.

  5. Anto J, Shishir MS, Pascal ND, Abey TB, Kanagasabai R, Syed N. Unstable Distal Radius Fractures Treated by Volar Locking Anatomical Plates. J Clin Diagn Res [Internet]. 2017 Jan [citado 14 Abr 2018];11(1):[aprox. 5 p.]. Dis-ponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5324454/.

  6. AO Foundation. Placa VA-LCP 2.4 bicolum-nar para radio distal palmar. Para la fijación de fracturas según el tipo específico de fragmen-tos, con tecnología de bloqueo de ángulo varia-ble. Técnica quirúrgica [Internet]. DePuy Synt-hes Trauma, una división de Synthes GmbH; 2016 [citado 14 Abr 2018]. Disponible en: http://synthes.vo.llnwd.net/o16/LLNWMB8/INT%20Mobile/Synthes%20International/Product%20Support%20Material/legacy_Synthes_PDF/DSEM-TRM-0815-0464-1c_LR.pdf

  7. Martins Xavier CR, Canesin Dal Molin D, Mo-ta Marins dos Santos R, Della Torre dos Santos R, Ferreira Neto JC. Surgical treatment of distal radius fractures with a volar locked plate: cor-relation of clinical and radiographic results. Rev Bras Ortop [Internet]. 2011 Sep-Oct [citado 14 Abr 2018];46(5):[aprox. 9 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799281/.

  8. Spiteri M, Roberts D, Ng W, Matthews J, Power D. Distal radius volar rim plate: Tech-nical and radiographic considerations. World J Orthop [Internet]. 2017 Jul [citado 14 Abr 2018];8(7):[aprox. 11 p.]. Disponible en: http://ww w.ncbi. nlm.nih.gov/pmc/articles/PMC5534406/.

  9. Disseldorp DJ, Hannemann PF, Poeze M, Brink PR. Dorsal or Volar Plate Fixation of the Distal Radius: Does the Complication Rate Help Us to Choose? J Wrist Surg [Internet]. 2016 Aug [citado 14 Abr 2018];5(3):[aprox. 9 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4959891/pdf/10-1055-s-0036-1571842.pdf

  10. Çalbıyık M, Ipek D. Use of Volar Locking Plate Versus Intramedullary Nailing for Fixation of Distal Radius Fractures: A Retrospective Analysis of Clinical and Radiographic Out-comes. MedSci Monit [Internet]. 2018 Jan [citado 14 Abr 2018];24(1):[aprox. 12 p.]. Disponible en: http://www.ncb i.nlm.nih.go v/pmc/articles/PMC5800487/.

  11. Dacombe PJ, Amirfyz R, Davis T. Patient-Reported Outcome Measures for Hand and Wrist Trauma. Is There Sufficient Evidence of Reliability, Validity, and Responsiveness? Hand (NY) [Internet]. 2016 Mar [citado 14 Abr 2018];11(1):[aprox. 11 p.]. Disponible en: http://www.ncbi.nlm.n ih.gov/ pmc/a rticles /PMC4920509/.




2020     |     www.medigraphic.com