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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(06): e981-e990
DOI: 10.1055/s-0044-1790579
Artigo Original
Trauma

Treatment Effectiveness of Volar Plates in Distal Radius Dorsal Rim Fractures

Article in several languages: português | English
Uğur Bezirgan 
1   Departamento de Ortopedia, Traumatologia e Cirurgia da Mão, Faculdade de Medicina, Ankara University, Altındağ, Ankara, Turquia
,
Erdinç Acar 
2   Departamento de Ortopedia, Traumatologia e Cirurgia da Mão, Ankara Bilkent City Hospital, Çankaya, Ankara, Turquia
,
Yener Yoğun 
1   Departamento de Ortopedia, Traumatologia e Cirurgia da Mão, Faculdade de Medicina, Ankara University, Altındağ, Ankara, Turquia
,
Merve Dursun Savran 
1   Departamento de Ortopedia, Traumatologia e Cirurgia da Mão, Faculdade de Medicina, Ankara University, Altındağ, Ankara, Turquia
,
Ömer Halit Keskin 
2   Departamento de Ortopedia, Traumatologia e Cirurgia da Mão, Ankara Bilkent City Hospital, Çankaya, Ankara, Turquia
,
Mehmet Armangil 
1   Departamento de Ortopedia, Traumatologia e Cirurgia da Mão, Faculdade de Medicina, Ankara University, Altındağ, Ankara, Turquia
› Author Affiliations Financial Support The authors declare that they did not received financial support from agencies in the public, private or non-profit sectors to conduct the present study.
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Abstract

Objective To assess the efficacy of distal radius volar plates in cases involving dorsal fragments at the Ulnar Corner (UC) and Lister Tubercle (LT).

Methods A retrospective study that included patients with distal radius fractures (DRFs) featuring UC and LT dorsal fragments treated with volar plates. The exclusion criteria comprised lunate facet fractures, UC fragment ratio below 25%, and patients treated with dorsal plates. Radiographic and tomographic measurements included radial length (RL), radial inclination (RI), ulnar variance (UV), palmar tilt (PT), fragment areas, UC fragment ratio, and displacement. The scores on the Gartland Werley (GW) classification and on the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, as well as grip strength, and range of motion (ROM), were assessed.

Results The study involved 17 male and 5 female subjects (mean age: 39.7 ± 10.7 years). The UC and LT fragments displayed mean areas of 1.6 ± 0.7cm2 and UC fragment ratio of 0.4 ± 0.1. The fixation rates for UC and LT fragments were of 18.2% and 31.8% respectively. Improved RI, UV, and PT were noted postoperatively. The mean GW and DASH scores were of 2.1 ± 2.0 and 4.3 ± 3.2 respectively. Grip strength on the operated side was of 89.5 ± 9.8% of the healthy side, and at least 90.9% of the patients achieved adequate ROM.

Conclusion While volar plates are the standard treatment for intra-articular DRFs, displaced dorsal fragments can impact the outcomes. Mini dorsal incisions may aid in the fixation of UC fragments that are challenging to secure with volar plates, preserving joint health.

Keywords

bone plates - fracture fixation, internal - radius fractures - retrospective studies

Authors' Contributions

Each author contributed individually and significantly to the development of this article: UB, EA, and YY researched the literature and conceived the study; YY and EA were involved in protocol development; ÖHK obtained the ethical approval; MDS and ÖHK were involved in patient recruitment and data analysis; MDS and UB wrote the first draft of the manuscript; and MA supervised, reviewed and edited the study. All authors reviewed and edited the manuscript and approved its final version


Work carried out at the Hand and Upper Surgery Division, Orthopedics and Traumatology Department, Faculty of Medicine, Ankara University, Altındağ, Ankara, Turkey.




Publication History

Received: 19 December 2023

Accepted: 23 June 2024

Article published online:
21 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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