Clinical efficacy of the radius bone plates for the fixation of radius bone fractures
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20223437Keywords:
Radius fracture, Extra-articular fracture, Distal radius, Management, TreatmentAbstract
Background: The purpose of this study was to evaluate the clinical efficacy of the radius bone plates fixation for treating radius bone fracture.
Methods: Forty-Five patients with fracture of the radius involving the distal part were treated with fixed angle plate fixation approach. This was a retrospective study in which 45 patients (39M, 6F) were treated at different hospitals and countries between August 2020 to October 2021 with a mean follow up of year (1month, 3months, 6months and 12months). All patients were followed using radiographs, physical examination, ASA and VAS score.
Results: All patients with radius fracture treated with specific fixation of plate system were enrolled and received continuous physiotherapy by physiotherapists, which helped in early healing. The clinical treatment results showed decline in the VAS score percentage after 1 year follow up. About 91.1% patients were satisfied with no pain and 8.8% patients were unsatisfied due to mild pain. A successful surgical outcome was reported without any complications related to implant breakage, loosening, corrosion or other factors.
Conclusions: The radius plate system results in more efficient, stable fixation and better subjective results early in the postoperative period. It has minimal complications requiring reoperation and risks.
References
Bair MM, Gondal AZ. Anatomy, shoulder and upper limb, forearm radius. USA: StatPearls Publishing; 2021.
Thakur S, Sharma S, Kumar M, Rawat P, Luthra G. Treatment of clavicle fracture using wise lock clavicle hook plate and wise lock superior anterior clavicle plate. Int J Res Orthopaed. 2019;5(5):796.
Vannabouathong C, Hussain N, Guerra-Farfan E, Bhandari M. Interventions for distal radius fractures: a network meta-analysis of randomized trials. J Am Acad Orthop Surg. 2019;27(13):e596-605.
Corsino CB, Reeves RA, Sieg RN. Radius fractures. USA: Stat Pearls Publishing; 2022.
Radius fractures. Available at: https://orthoinfo.aaos. org/en/diseases-conditions/distal-radius-fractures-broken-wrist. Accessed on 20 November 2021.
Gallo M, Morello S, Burgio V, Cigno LL. The current state of the art of angle-stable volar plating in the treatment of distal radial epiphysis fractures. Capsula Eburnea. 2011;6(18):23-9.
Eva AK, Tamara G, Vries R. Duration of cast immobilization in distal radial fractures: a systematic review. J Wrist Surg. 2019;8(5):430-8.
Chung KC, Mathews AL. Management of complications of distal radius fractures. HHS J Manu. 2015;31(2):205-15.
Hoare CP, Dickson DR, Armstrong DJ, Nuttall D, Watts AC. Internal fixation for treating distal radius fractures in adults. Cochrane Database Syst Rev. 2017;2017(9):CD011213.
Satake H, Hanaka N, Honma R, Watanabe T. Complications of distal radius fractures treated by volar locking plate fixation. Orthoped. 2016;39(5): e893-6.
Galle SE, Harness NG, Hacquebord JH, Burchette RJ, Brett P. Complications of radial column plating of the distal radius. Hand. 2013;2:23-9.
Figl M, Weninger P, Liska M, Hofbauer M, Leixnering M. Volar fixed-angle plate osteosynthesis of unstable distal radius fractures: 12 months results. Arch Orthop Trauma Surg. 2009;129(5):661-9.
