Volar Plate Osteosynthesis in Distal Radius Fractures
Keywords:
distal radius fractures, plate fly, osteosynthesis.Abstract
Introduction: Fractures of the distal end of the radius are frequent injuries, especially in women and in older patients with a variety of previous treatments that include the use of the volar plate as the main method of treatment today.
Objective: To communicate the results achieved in cases of distal radius fractures by using a volar plate as an oteosynthesis method.
Methods: A descriptive, cross-sectional study was carried out with patients treated at Fructuoso Rodríguez Orthopedic Hospital, who suffered a distal radius fracture. A volar plate was used for therapeutic treatment. The patients were incorporated sequentially and their mean follow-up was 12 months (8 min - 18 max). The inclusion of patients began in February 2017 and ended in February 2019. In February 2020, the clinical follow-up ended.
Results: The mean age of the study was 49 years and the female sex was the most affected, types B and C of the AO classification predominated, complications were few and 87% good results were obtained.
Conclusions: The treatment of distal radius fractures with the use of volar plate provides satisfactory functional results.
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References
Delgado P J, Martínez-Capoccini D.M, Cervera J. Fracturas del radio distal: encuesta sobre preferencias de manejo y tratamiento. Rev Iberoam Cir Mano. 2015;43(1):28-37
Brady T. Evans, Carl M. Harper, Tamara D. Rozental. Fractures of the Distal Radius and Ulna. Rockwoods and Green fractures in adults. 9th. Ed. Philadelphia, PA, Wolters Kluwer; 2020 p. 2563-2610 (cap 42, sec 2, vol 1)
Complicaciones de fracturas de radio distal González-Hernández Eduardo*Ortho-tips Vol. 7 No. 1 2011 Este artículo puede ser consultado en versión completa en http://www.medigraphic.com/orthotips.
Meinberg EG, Agel J, Roberts CS, Karam MD, Kellam JF. Fracture and Dislocation Classification Compendium-2018.J Orthop Trauma 2018;32(Suppl 1): S1–S170
Miró José Ignacio, Galán Adolfo, Guerado Enrique. Sistema de sostén dorsal fijado a placa volar em fracturas articulares de rádio distal. Rev Iberam Cir Mano 2020; 48:66–70.
Rotella J M, Rotella P. Nueva interpretación de los estabilizadores anatómicos en la fractura de muñeca. Parte II: patrones de lesión de las fracturas de radio. Rev Iberoam Cir Mano. 2015;43(1):20-27
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 http://revistaamc.sld.cu/ 129 Abr 2018];5(2): [aprox. 4 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5035514/.
Clembosky G, Gomez-Rodriguez G, Perrone J, Gómez D. Fractura de radio distal: abordaje mininvasivo con preservación del pronador cuadrado. Rev Asoc Argent Ortop Traumatol [Internet]. 2015 [citado 6 de mayo de 2016];80(3). Recuperado a partir de: http://www.scielo.org.ar/scielo.php?pid=S185274342015000300003&script=sci_arttext&tlng=pt
Shuang-Le Zong, Shi-Lian Kan, Li-Xin Su, Bin Wang. Meta-analysis for dorsally displaced distal radius fracture fixation: volar locking plate versus percutaneous Kirschner wires. J Orthop Surg. julio de 2015;10(1):1-12.
Oficina Nacional de Estadísticas, Anuario estadístico de salud. La Habana; 2020.
Celester-Barreiro G, Masip-Bilbao B, Prego-Bestillero A, Dozo-García J. Fracturas de la Unidad Radiocubital Distal. Rev Iberoam Cir Mano. 2010;38(2):136-56
Rhee PC, Shin AY. Management of complex distal radius fractures: review of treatment prin ciples and select surgical techniques. J Hand Surg Asian Pac Vol. 2016 Jun;21(2):140-54.
A. J. Arenas Planelles, J. A. Ortega Arruti, C. Corchuelo Maíllo, A. Arenas Miquéllez, M. Ortega Saez. La osteosíntesis con placa volar como tratamiento de las fracturas complejas del radio distal. Revista Española de Cirugia Osteoarticular Vol. 42 - Nº 226 abril - junio 2006.
A. J. Arenas Planelles Tratamiento quirúrgico de las fracturas del radio distal en pacientes jóvenes. Revista Española de Cirugía Osteoarticular. N.º 236. Vol. 46. Octubre - diciembre 2008.
Rojas, Facundo Rodríguez León, Alfredo Gormaz Talavera, Irene Aragón Outon, Adela Álvarez Blanco, Miguel Villanueva Pareja, Francisco. Fracturas inestables de radio distal. Nuestra experiencia en osteosíntesis con placa volar de ángulo variable. Rev. S. And. Traum. y Ort., 2012;29(2/2):9-15174.
Toro Aguilera, Álvaro. Síntesis de radio distal con placa volar. Influencia del bloqueo en el ángulo de los tornillos. Tesis Doctoral. 2014.
Marlow WJ, Singhal R, Dheerendra S, Ralte P, Fischer J, Waseem M. Distal radius volar locking plates: does a variable angle locking system confer a clinical advantage? Acta Orthop Belg 2012 Jun;78(3):309-316.
Vlcek M, Landor I, Visna P, Vavrik P, Sindelarova J, Sosna A. Multidirectional screw fixation in the treatment of distal radius fractures using angle-stable plates. Acta Chir Orthop Traumatol Cech 2015;78(1):27-33.
Beharrie AW, Beredjiklian PK, Bozentka DJ. Functional outcomes after open reduction and internal fixation for treatment of displaced distal radius fractures in patients over 60 years of age. J Orthop Trauma 2004; 18:680-6.
Saving Jenny, Anders Enocson, Ponzer Sari, Mellstrand Navarro Cecilia. External fixation versus volar locking plate for unstable dorsally displaced distal radius fractures—a 3-year follow-up of a randomized controlled study. J Hand Surg Am. r Vol. 44, January 2019.
Sirniö Kai , Leppilahti Juhana, Pasi Ohtonen, Flinkkilä Tapio, Early palmar plate fixation of distal radius fractures may benefit patients aged 50 years or older: a randomized trial comparing 2 different treatment protocol. Acta Orthopaedica 2019; 90 (2): 123–128
