Dorsal Support System Fixed to Volar Plate in Distal Articular Radius Fractures

José Ignacio Miró; Adolfo Galán; Enrique Guerado

doi:10.1055/s-0040-1708461

Revista Iberoamericana de Cirugía de la Mano, Table of Contents

CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2020; 48(01): 066-070
DOI: 10.1055/s-0040-1708461

Surgical Technique | Técnica Quirúrgica

Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Dorsal Support System Fixed to Volar Plate in Distal Articular Radius Fractures

Article in several languages: English | español

Authors

José Ignacio Miró

¹Orthopedic Surgery and Traumatology Department, Hospital de Poniente, El Ejido, Almería, Spain
Adolfo Galán

²Orthopedic Surgery and Traumatology Department, Hospital Costa del Sol, Marbella, Málaga, Spain
Enrique Guerado

²Orthopedic Surgery and Traumatology Department, Hospital Costa del Sol, Marbella, Málaga, Spain

Abstract

Despite the development of new dorsal low-profile, locked plates to treat distal radius fractures with articular patterns that require a dorsal support, many published series revealed complications associated with such devices. In this paper, we present three cases of comminuted fractures and dorsal die punch fragment treated by osteosynthesis using volar plate and dorsal support screw with double washer fixed to the plate through a mini dorsal approach and, from a volar position, a cup inserted in one of the distal holes of the plate to which a screw and two 7- and 13-mm washers are threaded from the back. This technique is an alternative to other fixation methods, and it may lead to similar functional outcomes and reduce the complications associated with the use of dorsal plates to treat these fractures.

Keywords

distal radius fracture - treatment - fracture fixation - volar plate - dorsal approach

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References

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