Distal radius fractures with diaphyseal involvement: fixation with fixed angle volar plate
2011

Fixation of Distal Radius Fractures with Volar Plates

Sample size: 21 publication Evidence: moderate

Author Information

Author(s): Rampoldi Michele, Palombi Dante, Tagliente Donatella

Primary Institution: Centro Traumatologico Ortopedico—Roma—ASL RMC, U.O.C. Chirurgia della Mano, Microchirurgia e Reimpianto Arti, Rome, Italy

Hypothesis

The study aims to evaluate the outcome of distal radius fractures with metaphyseal and diaphyseal involvement treated with fixed angle volar plates.

Conclusion

Fixed angle volar plates were demonstrated to be a safe and efficient treatment in these challenging fractures.

Supporting Evidence

  • All fractures except one united by an average of 90 days.
  • Radiographs showed optimal reduction in 17 of 21 cases.
  • 14 patients showed excellent results according to the Mayo wrist rating system.

Takeaway

Doctors used special plates to fix broken wrists, and most patients healed well in about three months.

Methodology

Twenty-one patients with distal radius fractures were treated with fixed angle volar plates and followed up with radiographs and DASH scores.

Limitations

The sample size is not very large and includes inhomogeneous samples with respect to fracture type and age.

Participant Demographics

6 female and 15 male patients, average age 41 (range 24–73 years).

Statistical Information

P-Value

0.0006

Confidence Interval

±3.92 for flexion, ±4.07 for extension, ±2.64 for pronation, ±3.49 for supination, ±2.003 for DASH scores.

Statistical Significance

p=0.0006

Digital Object Identifier (DOI)

10.1007/s10195-011-0147-x

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