Operative Orthopädie und Traumatologie
-
Oper Orthop Traumatol · Nov 2009
Clinical Trial[Fixation of fractures of the distal radius using the "nail-plate"].
Stable fixation of unstable distal radius fractures by means of a "nail-plate" with the distal plate section lying on the dorsal surface of the distal radius fragment, and the proximal nail section inside the diaphysis of the radius. ⋯ In the time between April 2005 and October 2006, 32 distal radius fractures were treated at the author's institution using the "nail-plate". Two complications were observed: loosening of a locking screw, and rupture of the extensor pollicis longus tendon 4 months postoperatively. In a study of more than 200 cases, only few complications were reported: a wound hematoma in a dialysis patient, loss of fixation of an articular fracture that was poorly indicated, and hypertrophic scar formation. In one patient complaining of persistent discomfort at the implantation site, the implant was removed.