The New Concept Of Polyaxial Locked Plate Fixation In Intra-Articular Fractures Of The Distal Radius

Document Type : Research project

Authors

1 Orthopedic surgery Faculty of Medicine Port Said University

2 Professor of orthopedic surgery Faculty of Medicine Port Said University

3 Lecturer of orthopedic surgery Faculty of Medicine Port Said University

Abstract

Background: 8–15% of all broken bones were distal radius fractures. Many of these fractures was managed with close reduction and cast immobilization. Open reduction and internal fixation achieved by using the volar approach (modified Henry approach). Polyaxial locking plates was the standard treatment for distal radius fractures.
The Aim was to evaluate the radiological and the functional outcomes of management of intra-articular distal radius fractures using Polyaxial Volar Locked Plate and assess the complications.
Methods: in the period between October 2021 and May 2022, a prospective study was carried out consisting of 20 cases (16 male & 4 female) met the requirements for inclusion criteria and finished the follow-up period of six months.
Results: At six months, MAYO and Quick-DASH scores were statistically significant. The functional results according to comparison of 3rd month & 6th month follow-up results was statistically significant for flexion, extension, radial & ulnar deviation. The final clinical outcome was related smoking.
Conclusion: Polyaxial locked plate fixation for distal radius fractures restores hand, wrist, and forearm function with high range of motion and stability. In unstable bony fragments like AO 23– C1 & C2 and C3 distal radial fractures, Polyaxial plate fixation yielded the best functional results. The rate of complications and reoperation was minimum.
Type Of Study: Descriptive prospective pre-post quasi experimental study.
Key Words: Polyaxial, Volar Locking Plate, Radial Fractures, Modified Henry approach

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Medicine Updates
Volume 15, Issue 15
October 2023
Pages 20-32

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