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Article: Open reduction and plate fixation of displaced AO Type C3 fractures of the distal radius: Restoration of articular congruity in eighteen cases

TitleOpen reduction and plate fixation of displaced AO Type C3 fractures of the distal radius: Restoration of articular congruity in eighteen cases
Authors
KeywordsDistal radius
Fracture
Joint congruity
Joint incongruity
Loss of reduction
Open reduction and plate fixation
Issue Date2001
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.jorthotrauma.com
Citation
Journal Of Orthopaedic Trauma, 2001, v. 15 n. 5, p. 350-357 How to Cite?
AbstractObjective: To determine the ability of open reduction and plate fixation to restore articular congruity in the treatment of fractures of the distal radius with intraarticular comminution and displacement. Design: Prospectively followed series. Methods: Eighteen consecutive fractures of the distal radius with intraarticular comminution and displacement were treated with open reduction and combined volar and dorsal plate fixation in thirteen, dorsal plate fixation in four, and volar plate fixation in one case. Kirschner wires were added in thirteen fractures and cancellous bone graft was used in four fractures. Articular congruity after a mean follow-up of twenty-three months was assessed using anteroposterior and lateral radiographs. Results: Articular congruity without a two millimeter or more intraarticular stepoff was found at follow-up in fifteen of eighteen cases, without a two millimeter or more gap in nine cases and without a two millimeter or more stepoff or gap in only eight cases. One reason for not having obtained articular congruity in some of the fractures was insufficient intraoperative visualization of the joint surface. Three reduced fractures redisplaced. The reason for loss of intraarticular reduction was considered insufficient stabilization of the distal fragments. In two of the three cases, it was thought that insertion of bone graft would have prevented the loss of reduction. Conclusions: Articular incongruity after open reduction and plate fixation of comminuted fractures of the distal radius may occur more often than expected. The reduced fracture should be evaluated by intraoperative radiographs. If the reduced joint surface is not entirely visible on the radiographs because of implants or other reasons, oblique radiographs or fluoroscopy should be additionally used. Plate fixation alone does not always provide sufficient stability and cancellous bone graft should be added in cases of metaphyseal bone loss or for stabilization of multiple small articular fragments that cannot be fixed by screws or Kirschner wires.
Persistent Identifierhttp://hdl.handle.net/10722/170030
ISSN
2015 Impact Factor: 1.84
2015 SCImago Journal Rankings: 1.142
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorSchneeberger, AGen_HK
dc.contributor.authorIp, WYen_HK
dc.contributor.authorPoon, TLen_HK
dc.contributor.authorChow, SPen_HK
dc.date.accessioned2012-10-30T06:04:51Z-
dc.date.available2012-10-30T06:04:51Z-
dc.date.issued2001en_HK
dc.identifier.citationJournal Of Orthopaedic Trauma, 2001, v. 15 n. 5, p. 350-357en_HK
dc.identifier.issn0890-5339en_HK
dc.identifier.urihttp://hdl.handle.net/10722/170030-
dc.description.abstractObjective: To determine the ability of open reduction and plate fixation to restore articular congruity in the treatment of fractures of the distal radius with intraarticular comminution and displacement. Design: Prospectively followed series. Methods: Eighteen consecutive fractures of the distal radius with intraarticular comminution and displacement were treated with open reduction and combined volar and dorsal plate fixation in thirteen, dorsal plate fixation in four, and volar plate fixation in one case. Kirschner wires were added in thirteen fractures and cancellous bone graft was used in four fractures. Articular congruity after a mean follow-up of twenty-three months was assessed using anteroposterior and lateral radiographs. Results: Articular congruity without a two millimeter or more intraarticular stepoff was found at follow-up in fifteen of eighteen cases, without a two millimeter or more gap in nine cases and without a two millimeter or more stepoff or gap in only eight cases. One reason for not having obtained articular congruity in some of the fractures was insufficient intraoperative visualization of the joint surface. Three reduced fractures redisplaced. The reason for loss of intraarticular reduction was considered insufficient stabilization of the distal fragments. In two of the three cases, it was thought that insertion of bone graft would have prevented the loss of reduction. Conclusions: Articular incongruity after open reduction and plate fixation of comminuted fractures of the distal radius may occur more often than expected. The reduced fracture should be evaluated by intraoperative radiographs. If the reduced joint surface is not entirely visible on the radiographs because of implants or other reasons, oblique radiographs or fluoroscopy should be additionally used. Plate fixation alone does not always provide sufficient stability and cancellous bone graft should be added in cases of metaphyseal bone loss or for stabilization of multiple small articular fragments that cannot be fixed by screws or Kirschner wires.en_HK
dc.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.jorthotrauma.comen_HK
dc.relation.ispartofJournal of Orthopaedic Traumaen_HK
dc.rightsJournal of Orthopaedic Trauma. Copyright © Lippincott Williams & Wilkins.-
dc.subjectDistal radiusen_HK
dc.subjectFractureen_HK
dc.subjectJoint congruityen_HK
dc.subjectJoint incongruityen_HK
dc.subjectLoss of reductionen_HK
dc.subjectOpen reduction and plate fixationen_HK
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshBone Platesen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshFracture Fixation - Methodsen_US
dc.subject.meshFractures, Comminuted - Surgeryen_US
dc.subject.meshHumansen_US
dc.subject.meshImmobilizationen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshOccupational Therapyen_US
dc.subject.meshPhysical Therapy Modalitiesen_US
dc.subject.meshPostoperative Complications - Radiography - Therapyen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshRadius Fractures - Surgeryen_US
dc.titleOpen reduction and plate fixation of displaced AO Type C3 fractures of the distal radius: Restoration of articular congruity in eighteen casesen_HK
dc.typeArticleen_HK
dc.identifier.emailIp, WY: wyip@hku.hken_HK
dc.identifier.emailChow, SP: spchow@hku.hken_HK
dc.identifier.authorityIp, WY=rp00401en_HK
dc.identifier.authorityChow, SP=rp00064en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/00005131-200106000-00008en_HK
dc.identifier.pmid11433140-
dc.identifier.scopuseid_2-s2.0-0034936250en_HK
dc.identifier.hkuros68789-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034936250&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume15en_HK
dc.identifier.issue5en_HK
dc.identifier.spage350en_HK
dc.identifier.epage357en_HK
dc.identifier.isiWOS:000169581700007-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridSchneeberger, AG=7006599594en_HK
dc.identifier.scopusauthoridIp, WY=35549641700en_HK
dc.identifier.scopusauthoridPoon, TL=35840749600en_HK
dc.identifier.scopusauthoridChow, SP=7201828376en_HK

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