A new complication in volar locking plating of the distal radius: longitudinal fractures of the near cortex
| Autor: | Yusuf Gürbüz, Kemal Ozaksar, Tulgar Toros, Emin Bal, Murat Kayalar, Tahir Sadık Sügün |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Wrist Joint medicine.medical_specialty Turkey Radiography Palmar Plate Wrist Fracture Fixation Internal Young Adult Postoperative Complications Cortex (anatomy) Fracture fixation Plating (geology) medicine Humans Orthopedics and Sports Medicine Range of Motion Articular Aged Retrospective Studies Aged 80 and over Orthodontics business.industry General Medicine Radius Middle Aged Complication distal radius fracture longitudinal fracture volar locking plate Surgery body regions medicine.anatomical_structure Female Radius Fractures business Range of motion Bone Plates |
| Zdroj: | Volume: 50, Issue: 2 Acta Orthopaedica et Traumatologica Turcica |
| ISSN: | 1017-995X |
| DOI: | 10.3944/aott.2015.15.0233 |
| Popis: | Objective: The purpose of this study was to document a new complication in volar locking plating of the distal radius.Methods: Between January 2007 and January 2014, 223 patients were identified from the department’s surgical database with retrospective chart and radiographic review. Sixty-eight patients were over 60 years of age. All fractures were operated with Acu-Loc® (Acumed, Hillsboro, OR, USA) wrist volar locking plating systems. Longitudinal fracture lines (LFL) beneath volar plate-extending proximal shafts were documented. Correlations between age groups and LFLs were investigated. Radiographs with LFLs were assessed at final follow-up for the following parameters: volar tilt, radial inclination and radial length.Results: Twenty-eight of 68 patients over age of 60 years had LFLs. Correlation was significant for age groups (p0.05).Conclusion: Surgeons should be aware of the complications that may occur with volar locking plates. Understanding of potential complications and their results are important. As a result of aging, thinning, and weakening, the near cortex may become more brittle. When the plate is reduced on the bone with a nonlocking screw, the conical head of diaphyseal locking screws can extend over plate thickness and penetrate the near cortex, acting as a screwing wedge. Additional divergent configuration may promote this effect and crack the cortex. |
| Databáze: | OpenAIRE |
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