DISTAL RADIUS FRACTURES TREATED WITH HAND INNOVATION´S DVR™ PLATES – FIRST EXPERIENCE

Česká verzia

Authors: Jaromír Freiwald; Petr Špiroch; Miroslav Homza; Radim Vinter; Pavel Dráč
Authors place of work: Department of Traumatology, Teaching Hospital Olomouc ; Traumatologické oddělení FN Olomouc
Published in the journal: Úraz chir. 17., 2009, č.2

Summary

In recent years a shift can be observed in treatment of distal radius fractures, from conservative methods towards surgery. The numbers of open repositions and osteosyntheses have been increasing. On the market there is a broad range of implants made by various manufacturers. The purpose of this study has been to assess our first experience with Hand Innovation´s fixedangle DVR plates on a group of patients operated on at the department of traumatology in the Teaching Hospital in Olomouc due to distal radius fractures. From March to December 2008 we monitored 30 patients for at least 16 weeks following the osteosyntheses. We evaluated early functional results of the surgery treatment after completed rehabilitation. Full movement was recovered after rehabilitation in 16 patients, 12 patients experienced a slight limitation of movement, 2 patients had a medium limitation of the wrist function and 2 patients ended up with a significant limitation of the wrist function. Based on our first experience the fixed-angle DVR™ plates may be particularly advantageous for multifragment intraarticular distal radius fractures of type C under the AO classification.

KEY WORDS:
distal radius fracture, functional results, complications.

Zdroje

1. BIANCHI, S., VAN AKEN, J., GLAUSER, T., MAR-TINOLI, C., BEAULIEU, J. Screw impingement on the extensor tendons in distal radius fractures treated by volar plating. Am J Roentgenol. 2008, 199–203.

2. DE WHITE, B., LOZANO, P., CALDERON, S., HAR-NESS, N., WATCHMAKER, G., GREEN, M.S., RING, D. Acute vascular injury associated with fractures of the distal radius. J Orthop Traum. 2008, 22, 611–614.

3. FERNANDEZ, D., JUPITER, J.B. Fractures of the distal radius. 1. vyd. New York: Springer, 1995, 887 s.

4. GARTLAND, J. Jr., WERLEY, C. Evaluation of hea-led Colles fracture. J Bone Joint Surg. 1951, 33-A, 895–907.

5. FERNANDEZ, D, ORBAY, J. Volar fixed angle plate fixation for unstable distal radius fractures in elderly patient. J Hand Surg. 2004. 29, 1, 96–102.

6. JÄCKEL, R., BUSCHMANN, J., NAPP, M. Pseudoarthrosis after fracture of the distal radius. Handchir Mikrochir Plast Chir. 2008, 14, 28–30.

7. JOSHI, D., LICHTMAN, A., DAVID, M. Plating of distal radius. J Am Acad Orthop Surg. 2005, 13, 159–171.

8. JUPITER, J.B., FERNANDEZ, D., CHOOM-LAI, T., FELMAN, T., RING, D. Operative treatment of volar intraarticular fractures of the distal end of the radius. J Bone Joint Surg. 1996, 78-A, 1817–1828.

9. MAC DERMID, J., RICHARDS, R., ROTH, J. Distal radius fracture: a prospective outcome study of 275 patients. J Hand Ther. 2001, 14, 154–169.

10. MELONE, C. Distal radius fractures: pattern of articular fragmentation. J Orthop Clin North Am. 1993, 24, 239–253.

11. PACOVSKÝ, V., KRBEC, M., ČECH, O., DŽUPA, V., KLÉZL, Z. Fractures of the distal radius. Part 1: statistical evaluation of the patients group. Acta Chir Orthop Traum Čech. 2003, 70, 108–111.

12. PILNÝ, J., ČIŽMÁŘ, I. Chirurgie zápěstí. 1. vyd. Praha: Galén, 2006, 163 s.

13. VÉLE, F. Kineziologie pro klinickou praxi. II. vyd. Praha: Galén. 1997, 186 s.

Štítky

Surgery Traumatology Trauma surgery

Článek Femoral neck fractures in children and adolescents

Článek Risk factors for aseptic necrosis of femoral head after femoral neck fractures: experimental study

Článek Proximal femoral fractures - Have patients operated early after admission lower mortality than patients operated later?

Článok vyšiel v časopise

Trauma Surgery

2009 Číslo 2

Najčítanejšie tento týždeň

Najčítanejšie v tomto čísle