nach oben

Current Reviews in Musculoskeletal Medicine

Erschienen in:

05.03.2019 | Distal Radius and Wrist Fractures (E Shin, Section Editor)

Fragment-Specific Fixation in Distal Radius Fractures

verfasst von: Bryan A. Hozack, Rick J. Tosti

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 2/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

Fragment-specific fixation can be a useful tool in treating distal radius fractures. In order to best utilize these techniques, surgeons require an understanding of the normal anatomy, fracture patterns, approaches, and fixation strategies.

Recent Findings

Fragment-specific fixation may be appropriate for certain fracture patterns particularly when monoblock plating techniques are not sufficient.

Summary

Radial styloid, volar rim, dorsal wall, dorsal–ulnar corner, and impacted intraarticular fragments may be secured with implants designed specifically for each individual fragment. Although more technically demanding, advantages include accurate articular reconstruction, minimal hardware irritation, and reliable functional outcomes.

Larsen CF, Lauritsen J. Epidemiology of acute wrist trauma. Int J Epidemiol. 1993;22(5):911–6.CrossRefPubMed

Chung KC, Spilson SV. The frequency and epidemiology of hand and forearm fractures in the United States. J Hand Surg. 2001;26(5):908–15.CrossRef

Medoff RJ. Essential radiographic evaluation for distal radius fractures. Hand Clin. 2005;21(3):279–88.CrossRefPubMed

Ilyas AM, Mudgal CS. Radiocarpal fracture-dislocations. J Am Acad Orthop Surg. 2008;16(11):647–55.CrossRefPubMed

Berger RA, Landsmeer JM. The palmar radiocarpal ligaments: a study of adult and fetal human wrist joints. J Hand Surg. 1990;15(6):847–54.CrossRef

Ritt MJ, Stuart PR, Berglund LJ, Linscheid RL, Cooney WP, An KN. Rotational stability of the carpus relative to the forearm. J Hand Surg. 1995;20(2):305–11.CrossRef

Robson AJ, See MS, Ellis H. Applied anatomy of the superficial branch of the radial nerve. Clin Anat. 2008;21(1):38–45.CrossRefPubMed

Reichel LM, Bell BR, Michnick SM, Reitman CA. Radial styloid fractures. J Hand Surg. 2012;37(8):1726–41.CrossRef

Lamas C, Llusà M, Méndez A, Proubasta I, Carrera A, Forcada P. Intraosseous vascularity of the distal radius: anatomy and clinical implications in distal radius fractures. Hand (N Y). 2009;4(4):418–23.CrossRef

10.

Koh S, Andersen CR, Buford WL, Patterson RM, Viegas SF. Anatomy of the distal brachioradialis and its potential relationship to distal radius fracture. J Hand Surg. 2006;31(1):2–8.CrossRef

11.

Melone CP. Articular fractures of the distal radius. Orthop Clin N Am. 1984;15(2):217–36.

12.

Jupiter JB, Nunez F, Fricker R. Manual of fracture management: hand. New York: Thieme; 2016. (AO Trauma Series)

13.

Fernandez DL, Geissler WB. Treatment of displaced articular fractures of the radius. J Hand Surg. 1991;16(3):375–84.CrossRef

14.

Ilyas AM. Surgical approaches to the distal radius. Hand (N Y). 2011;6(1):8–17.CrossRef

15.

• Geissler WB, Clark SM. Fragment-specific fixation for fractures of the distal radius. J Wrist Surg. 2016;5(1):22–30 This article describes techniques for a fragment-specific fixation system with clinical photographs and imaging. CrossRefPubMedPubMedCentral

16.

Mayfield JK, Johnson RP, Kilcoyne RK. Carpal dislocations: pathomechanics and progressive perilunar instability. J Hand Surg. 1980;5(3):226–41.CrossRef

17.

•• Landgren M, Abramo A, Geijer M, Kopylov P, Tägil M. Fragment-specific fixation versus volar locking plates in primarily nonreducible or secondarily redisplaced distal radius fractures: a randomized controlled study. J Hand Surg. 2017;42(3):156–165.e1 This article compares volar plates with fragment-specific fixation, showing equivalent outcomes, but emphasizing some of the potential complications of fragment-specific fixation. CrossRef

18.

Benson LS, Minihane KP, Stern LD, Eller E, Eshadri R. The outcome of intra-articular distal radius fractures treated with fragment-specific fixation. J Hand Surg. 2006;31(8):1333–9.CrossRef

19.

Garner MR, Schottel PC, Thacher RR, Warner SJ, Lorich DG. Dual radial styloid and volar plating for unstable fractures of the distal radius. Am J Orthop (Belle Mead NJ). 2018;47(3).

20.

Harness NG, Jupiter JB, Orbay JL, Raskin KB, Fernandez DL. Loss of fixation of the volar lunate facet fragment in fractures of the distal part of the radius. J Bone Joint Surg Am. 2004;86-A(9):1900–8.CrossRef

21.

Nana AD, Joshi A, Lichtman DM. Plating of the distal radius. J Am Acad Orthop Surg. 2005;13(3):159–71.CrossRefPubMed

22.

Kozin SH. Perilunate injuries: diagnosis and treatment. J Am Acad Orthop Surg. 1998;6(2):114–20.CrossRefPubMed

23.

Konrath GA, Bahler S. Open reduction and internal fixation of unstable distal radius fractures: results using the trimed fixation system. J Orthop Trauma. 2002;16(8):578–85.CrossRefPubMed

24.

Chin KR, Jupiter JB. Wire-loop fixation of volar displaced osteochondral fractures of the distal radius. J Hand Surg. 1999;24(3):525–33.CrossRef

25.

•• O’Shaughnessy MA, Shin AY, Kakar S. Stabilization of volar ulnar rim fractures of the distal radius: current techniques and review of the literature. J Wrist Surg. 2016;5(2):113–9 This is a review of literature on volar–ulnar rim fracture treatment technique. The importance of reduction and fixation of this fragment is emphasized with helpful clinical photographs and radiologic studies. CrossRefPubMedPubMedCentral

26.

Beck JD, Harness NG, Spencer HT. Volar plate fixation failure for volar shearing distal radius fractures with small lunate facet fragments. J Hand Surg. 2014;39(4):670–8.CrossRef

27.

Jupiter JB, Fernandez DL, Toh CL, Fellman T, Ring D. Operative treatment of volar intra-articular fractures of the distal end of the radius. J Bone Joint Surg Am. 1996;78(12):1817–28.CrossRefPubMed

28.

Jupiter JB. Complex articular fractures of the distal radius: classification and management. J Am Acad Orthop Surg. 1997;5(3):119–29.CrossRefPubMed

29.

Patterson RW, Van Niel M, Shimko P, Pace C, Seitz WH. Proprioception of the wrist following posterior interosseous sensory neurectomy. J Hand Surg. 2010;35(1):52–6.CrossRef

30.

Cole DW, Elsaidi GA, Kuzma KR, Kuzma GR, Smith BP, Ruch DS. Distal radioulnar joint instability in distal radius fractures: the role of sigmoid notch and triangular fibrocartilage complex revisited. Injury. 2006;37(3):252–8.CrossRefPubMed

31.

Spiteri M, Ng W, Matthews J, Power D, Brewster M. Three year review of dorsal plating for complex intra-articular fractures of the distal radius. J Hand Surg Asian Pac Vol. 2018;23(2):221–6.CrossRefPubMed

32.

Medoff RJ. Radiographic evaluation and classification of distal radius Fractures. In: Fractures and injuries of the distal radius and carpus. Elsevier; 2009 [cited 2018 Dec 22]. p. 17–31. Available from: https://linkinghub.elsevier.com/retrieve/pii/B9781416040835000056

33.

Kim JK, Yun Y-H, Kim DJ. The effect of displaced dorsal rim fragment in a distal radius fracture. J Wrist Surg. 2016;5(1):31–5.CrossRefPubMedPubMedCentral

34.

Knirk JL, Jupiter JB. Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg Am. 1986;68(5):647–59.CrossRefPubMed

35.

Erhart S, Schmoelz W, Lutz M. Clinical and biomechanical investigation of an increased articular cavity depth after distal radius fractures: effect on range of motion, osteoarthrosis and loading patterns. Arch Orthop Trauma Surg. 2013;133(9):1249–55.CrossRefPubMed

Titel: Fragment-Specific Fixation in Distal Radius Fractures
verfasst von: Bryan A. Hozack
Rick J. Tosti
Publikationsdatum: 05.03.2019
Verlag: Springer US
Erschienen in: Current Reviews in Musculoskeletal Medicine / Ausgabe 2/2019
Elektronische ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-019-09538-6

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

18.04.2024 | Wirbelsäulenmetastase | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Fragment-Specific Fixation in Distal Radius Fractures

Abstract

Purpose of Review

Recent Findings

Summary

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Zwei neue Alternativen zu TNF-Inhibitoren bei axSpA

Update Orthopädie und Unfallchirurgie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose of Review

Recent Findings

Summary

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2019

Outcomes of Meniscus Repair in Children and Adolescents

Hand and Wrist Injuries in Tennis Players

Combined Anterior Cruciate Ligament and Medial Collateral Ligament Knee Injuries: Anatomy, Diagnosis, Management Recommendations, and Return to Sport

Complications in the Management of Distal Radius Fractures: How Do We Avoid them?

Best Approaches in Distal Radius Fracture Malunions

Concussion Pathophysiology and Injury Biomechanics

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Zwei neue Alternativen zu TNF-Inhibitoren bei axSpA

Update Orthopädie und Unfallchirurgie