The titanium wrist plating system is designed for fixation of intraarticular and extraarticular fractures, osteotomies, and nonunions and malunions of the distal radius. Dorsal plates for fractures that cannot be addressed with a volar plate. Importance of managing injuries of the distal radioulnar joint. The distal end, which tends to be turned slightly forwards, has a somewhat triangular form. Specific qualitative and quantitative features of the distal radius fracture apparent on the radiograph are discussed.
Chamfered edges and a smooth surface for soft tissue protection. This handout explains your followup care after the surgery to repair your distal radius fracture. Xl plates for fixation of combined diaphysealmetaphyseal radius fractures. Shorter distal screws could avoid this, yet the influence of distal screw length on the primary stability in vlpo is unknown. The injuries occur when the wrist is subject to nonphysiologic loads, such as falling on an outstretched hand. Orthopedics over the past decade, several anatomical plates have been introduced to improve the result of open reduction and internal fixation of the distal radius. We explored this relationship by assessing the influence of radiographic displacement and fracture comminution on the functional outcomes of these fractures. Restoration of teardrop angle tda in distal radius. This site is an academic site devoted to studying distal radius fractures and is open to all surgeons. The goal of the site is to present a comprehensive inventory of distal radius fracture management information and resources, as well as uptodate. The distal radius has been the center of attention for the development of many of the bone graft substitutes because it is a common area to fracture with a relative lack of associated confounding variables.
The radius narrows toward its distal end close to the wrist joint, and fractures at this weakest point are very common. Specific small fragment plates for dorsal, volar and radial fixation. The effects of screw length on stability of simulated. Medartis, aptus, modus, trilock, hexadrive and speedtip are registered trademarks of. Distal radius fractures knowledge for medical students. A long heritage in plating solutions in 1974, synthes was founded to develop, manufacture and deliver high quality instruments and implants to support the ao. Designed for ease of application, the jetx mini double pin clamp. Variations of plate shapes include h frame, straight. It offers guidance that you should heed, but as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments. Open the extensor retinaculum performing a longitudinal incision between the first and second extensor compartments. Fractures of the distal radius are the most common fractures in the human body. Distal radius fractures are a common fracture of the arm, with a bimodal peak incidence between the second and third decade and individuals above 65 years of age. Unstable distal radius fractures are treated with surgery.
Volarlocking distal radius plates were applied to 30 osteoporotic distal radius models. Make an incision using the flexor carpi radialis fcr approach, with distal extension as necessary. Variax distal radius locking plate system stryker meded. The titanium volar plates are available in a wide array of sizes narrow, standard, and wide and in multiple shaft lengths. Features the following features are available with the merge orthotemplates library. Distal radius fractures are one of the most common injuries encountered in orthopedic practice. The purpose of this study was to summarize and evaluate results of threedimensional 3d planned corrective osteotomies of malunited distal radius fractures. However, there is no current consensual evidence to guide the selection of one technique over the other. The traditional treatment of distal radius fractures was either nonoperative, with closed reduction and cast immobilisation, or operative. Radii were divided into 5 groups based on distal locking fixation. Welcome to eradius, the website of the international distal radius fracture study group. The distal radius plate is indicated for the osteopenic and periarticular fractures, revision surgery of pseudarthrosis, nonunion and malunion, arthrodesis and ligament reattachment, fixation of complex intra and extraarticular fractures and osteotomies of distal radius. It consists of the carpus, distal ulna and distal radius. No procedures were performed on the head of the ulna.
Outcome and new surgical methods of treatment abstract stable distal radius fractures are treated nonsurgically in a cast. Distal radius fractures disclosures i have stock ownership in johnson and johnson and pfizer. Traditional percutaneous kirschner wires kwire and open reduction with volar locking plate vlp are the two most common surgical fixation techniques used to manage dddrf. One study found that only 2 9% of collesfound that only 2. Distal radius fractures are the most common fractures of the human skeleton, with about ten per cent of the population sustaining a fracture at some point in their life. The majority of patients have good outcome, but up to one fifth are not satisfied. Background the radius is the most common bone in the arm to sustain a fracture. We assess the reduction of the tda in intraarticular distal radius fractures treated with volar locking plates. A retrospective assessment was conducted in 78 patients with a healed fracture of the distal radius. Colles fracture specifically is defined as metaphyseal injury of cortico. A leading variable angle system 6 plates per type were mounted according to ifu on osteoporotic cadaveric specimens matched for bone mineral density and shape.
Extensor tendon irritation is one of the most common complications following volar locking plate osteosynthesis vlpo for distal radius fractures. Compatible with the screws and instruments of the aptus distal radius system 2. Bridgeforth, joan williams, and charles carroll iv a 83yearold woman fell in her kitchen and tried to break her fall with her right hand. It is most likely caused by distal screws protruding the dorsal cortex. In recent years, great changes have taken place both in the treatment options of the distal radius and the patient demands which have increased. The primary goal of all of this is to raise awareness of the malreduction to decrease problems with distal. Its distal carpal articular surface, concave from before backwards, and slightly so from side to side, is divided into two facets by a slight antero posterior ridge. The distal apex of the template should be positioned 24 mm proximal to the subchondral surface of the distal radius, between listers tubercle and the center of the lunate facet so that the implant will support the loads in the wrist. Distal radius fractures are common and comprise 15% of extremity fractures. Distal radius fracture is the most common fracture of the upper extremity, with an annual incidence of 2 to 4 per 1,000 persons. The arthrex titanium volar distal radius plating system provides a comprehensive solution for distal radius fracture management. Trilock multidirectional 15 and angular stable locking technology. Saraogi a a, sonawane d v, chandanwale a, jagtap s a, shah n z, bhoyar r p. The relationship between radiographic and functional outcomes in older patients with distal radius fractures is controversial.
Distal radius fractures are the most common fractures of the upper extremities. The influence of distal screw length on the primary. Prep hand, and apply finger trap traction if desired. In paper i, patientrated outcome after a fracture of the distal radius was investigated in relation to radiological results, grip strength and range of movement rom. Defining residual radial translation of distal radius. The drill guide blocks are adapted to the distal area of hte patl es a 47506. Although sometimes stated otherwise, the outcome of these fractures is not uniformly good regardless the treatment instituted. Place patient in supine position with hand extended on arm board. Comparison between various modalities of treatment of. In the context of the radius bone, a ray can be thought of rotating around an axis line extending diagonally clarification needed from center of capitulum to the center of distal ulna. Introduction distal radius fracture represent approximately one sixth of all fractures there are three main peaks of fracture distribution,children aged 514 years,male aged under 50 years and females over the age of 40 years distal radius fractures occur through the distal metaphysis of the radius may involve articular surface frequently.
Variax distal radius locking plate system this publication sets forth detailed recommended procedures for using stryker osteosynthesis devices and instruments. Bartons fracture an intraarticular fracture of the distal radius with dislocation of the radiocarpal joint. A comprehensive offering of volar plates are available in narrow, standard, and wide as well as multiple shaft lengths. When bending a flat plate distal radius plates, the plate bending pliers must be held so that the letters f flat plate this side up are legible from above.
Distal radius fractures most common ue fx 1 out of 6 fractures seen in er 3rd most common fracture high morbidity rate. In patients with complex distal radius fractures, reconstruction of the distal radius, ulna, and triangular fibrocartilage complex can be challenging. Orthopaedic templating after you calibrate your image and select a merge healthcare implant overlay, the application. Korean type distal radius anatomical volar plate system. Clinical points a triangular fibrocartilage complex tfcc tear may present with pain and soreness along the distal ulna. Osteotomies can be performed with either a 45 or 90 angle. We systematically searched pubmed, embase and the cochrane library for studies that performed a 3d. Effective restoration of the bony architecture requires intimate knowledge of the anatomy of the distal radius, a thorough understanding of the goals of treatment, versatility in surgical approaches, and familiarity with. Korean type distal radius anatomical volar plate system clinics in orthopedic surgery vol. Comparison between various modalities of treatment of distal end radius fractures. The bony anatomy involves the distal radius, distal ulna and carpal bones.
Treatment of distal radius fractures with volar locking. Medartis s web site contains information about products and services that may or may not be available in any particular country or region of the world, may be available under different trademarks in different countries and where applicable may be approved or cleared by a government regulatory body for sale or use with different indications. Consult medartiss entire distal radius plates xl 2. The mechanism of injury may be due to lowenergy falls, especially in women with osteoporosis, or highenergy trauma that occurs during sports or motor vehicle accidents. Abraham colles is credited with description of the most common fracture pattern affecting distal end radius in 1814, and is classically named after him. We also asked whether operative intervention and demographic factors age, gender, duration of followup. We conclude with a series of questions the radiologist should address in the initial description of. Comprehensive plating system providing anatomical volar and dorsal, universal volar and fragment.
The variax distal radius plating system represents the next generation of bone fixation for your distal radius fracture needs. Trilockplus screw holes combine compression and angular stability in one. The fracture of the distal radius is the most common fracture we treat. Intermediate column fractures icf of the distal radius are fractures only or mainly limited to the middle column of the distal radius that is a result of an axial load passed to the lunate fossa. There is a drain in place to remove excess fluid and avoid. Accuracy of distal radius positioning using an anatomical.