Journal of orthopaedic trauma
-
Multicenter Study
Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate.
The increasing number of fixed-angle plate systems used to treat distal radius fractures carries with it the problem of determining the optimal fixation for unstable fractures. Our goal was to analyze the clinical and radiological outcomes of patients with displaced, unstable distal radius fractures treated with a palmar fixed-angle plate. ⋯ Fixation of unstable dorsally displaced distal radius fractures with a fixed angle plate provides sufficient stability with minimal loss of reduction. Nevertheless, very distal palmar plate position can interfere with the flexor tendon system, too long screws can penetrate the extensor compartments, and distal screws in comminuted fracture patterns can cut through the subchondral bone and penetrate into the radiocarpal joint. Mindful of these problems, we consider that the complex fracture pattern of an unstable distal radius fracture cannot be treated by a single plate system and approach.
-
Comparative Study
Biomechanical analysis of bicondylar tibial plateau fixation: how does lateral locking plate fixation compare to dual plate fixation?
This study is designed to test the comparative strength of lateral-only locked plating to medial and lateral nonlocked plating in a cadaveric model of a bicondylar proximal tibial plateau fracture. ⋯ The results of this study demonstrate that dual-plate fixation allows less subsidence in this bicondylar tibial plateau cadaveric model when compared to isolated locked lateral plates. This may raise concerns about the widespread use of isolated lateral locked plate constructs in bicondylar tibial plateau fractures.