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Treatment of highly comminuted distal radius fractures with temporary distraction plate

Cindy Bouvet, Christina Steiger, Alexander De Smet, Marie Loret, Philippe Vostrel, Jean-Yves Beaulieu.


Abstract
Surgical treatment of highly comminuted distal radius fractures in elderly patients with poor bone quality or in polytrauma patients is a technical challenge.
Aim: The aim of this study was to evaluate the results of temporary bridge plating in these patients.
Method: A retrospective review using data from 21 patients undergoing temporary bridge plating in our department was performed. All patients had fractures classified as type C3 by AO classification. To achieve optimal joint surface reduction, supplementary fixation was necessary in all cases. Data was evaluated for clinical and radiological parameters.
Results: Radiological results showed a mean post-operative positive ulnar variance of 1.2 mm, mean radial inclination of 18° and a mean radial length of 10 mm. Furthermore, correlations between fracture patterns and ligament injuries were analyzed.
Conclusion: Temporary bridge plating is indicated in the treatment of highly comminuted distal radius fractures in elderly patients with poor bone quality and young polytrauma patients. (Level of evidence: Level 4)

Key words: Highly comminuted radius fracture, brigding plate, anatomic congruency

  

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How to Cite this Article
Pubmed Style

Bouvet C, Steiger C, Smet AD, Loret M, Vostrel P, Beaulieu J. Treatment of highly comminuted distal radius fractures with temporary distraction plate. Hand Microsurg. 2017; 6(3): 110-119. doi:10.5455/handmicrosurg.238203

Web Style

Bouvet C, Steiger C, Smet AD, Loret M, Vostrel P, Beaulieu J. Treatment of highly comminuted distal radius fractures with temporary distraction plate. http://handmicrosurgeryjournal.com/?mno=238203 [Access: April 24, 2018]. doi:10.5455/handmicrosurg.238203

AMA (American Medical Association) Style

Bouvet C, Steiger C, Smet AD, Loret M, Vostrel P, Beaulieu J. Treatment of highly comminuted distal radius fractures with temporary distraction plate. Hand Microsurg. 2017; 6(3): 110-119. doi:10.5455/handmicrosurg.238203

Vancouver/ICMJE Style

Bouvet C, Steiger C, Smet AD, Loret M, Vostrel P, Beaulieu J. Treatment of highly comminuted distal radius fractures with temporary distraction plate. Hand Microsurg. (2017), [cited April 24, 2018]; 6(3): 110-119. doi:10.5455/handmicrosurg.238203

Harvard Style

Bouvet, C., Steiger, C., Smet, A. D., Loret, M., Vostrel, P. & Beaulieu, J. (2017) Treatment of highly comminuted distal radius fractures with temporary distraction plate. Hand Microsurg, 6 (3), 110-119. doi:10.5455/handmicrosurg.238203

Turabian Style

Bouvet, Cindy, Christina Steiger, Alexander De Smet, Marie Loret, Philippe Vostrel, and Jean-Yves Beaulieu. 2017. Treatment of highly comminuted distal radius fractures with temporary distraction plate. Hand and Microsurgery, 6 (3), 110-119. doi:10.5455/handmicrosurg.238203

Chicago Style

Bouvet, Cindy, Christina Steiger, Alexander De Smet, Marie Loret, Philippe Vostrel, and Jean-Yves Beaulieu. “Treatment of highly comminuted distal radius fractures with temporary distraction plate.” Hand and Microsurgery 6 (2017), 110-119. doi:10.5455/handmicrosurg.238203

MLA (The Modern Language Association) Style

Bouvet, Cindy, Christina Steiger, Alexander De Smet, Marie Loret, Philippe Vostrel, and Jean-Yves Beaulieu. “Treatment of highly comminuted distal radius fractures with temporary distraction plate.” Hand and Microsurgery 6.3 (2017), 110-119. Print. doi:10.5455/handmicrosurg.238203

APA (American Psychological Association) Style

Bouvet, C., Steiger, C., Smet, A. D., Loret, M., Vostrel, P. & Beaulieu, J. (2017) Treatment of highly comminuted distal radius fractures with temporary distraction plate. Hand and Microsurgery, 6 (3), 110-119. doi:10.5455/handmicrosurg.238203