Volar fixed-angle plating of extra-articular distal radius fractures—a biomechanical analysis comparing threaded screws and smooth pegs

Journal of Trauma Nursing

Volumn 69, Issue 5, 2010, Pages E46-E55

  Weninger, Patrick ^a   Dall’Ara, Enrico ^b   Leixnering, Martin ^c   Pezzei, Christoph ^c   Hertz, Harald ^c   Drobetz, Herwig ^d   Redl, Heinz ^e   Zysset, Philippe ^b  

^a LUDWIG BOLTZMANN INSTITUTE FOR EXPERIMENTAL AND CLINICAL TRAUMATOLOGY   (Austria)

^b VIENNA UNIVERSITY OF TECHNOLOGY   (Austria)

^c Lorenz Boehler Trauma Hospital   (Austria)

^d MACKAY BASE HOSPITAL   (Australia)

^e LUDWIG BOLTZMANN INSTITUTE FOR LUNG VASCULAR RESEARCH   (Austria)

Author keywords

Biomechanical; Distal radius fracture; Locking pegs; Locking screws; Volar fixed angle plating

Indexed keywords

ARTICLE; BIOMECHANICS; BONE SCREW; COMPRESSION; ENERGY ABSORPTION; HUMAN; INTERMETHOD COMPARISON; MECHANICAL TORSION; METAPHYSIS; ORTHOPEDIC EQUIPMENT; PRIORITY JOURNAL; QUALITATIVE ANALYSIS; RADIUS FRACTURE; SMOOTH PEG; STRENGTH; THREADED SCREW; TORQUE; VOLAR PLATE FIXATION;

BIOMECHANICS; BONE PLATES; BONE SCREWS; CADAVER; FRACTURE FIXATION, INTERNAL; HUMANS; PROSTHESIS DESIGN; RADIUS; RADIUS FRACTURES; TORQUE; VOLAR PLATE; WEIGHT-BEARING; WRIST JOINT;

EID: 78549295173     PISSN: 10787496     EISSN: 19323883     Source Type: Journal    
DOI: 10.1097/TA.0b013e3181c6630e     Document Type: Article

References (24)

1. Jupiter JB. Fractures of the distal end of the radius. J Bone Joint Surg Am. 1991;73:461-469.
2. 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;78:1817-1828.
3. Hargreaves DG, Drew SJ, Eckersley R. Kirschner wire pin tract infection rates: a randomized controlled trial between percutaneous and buried wires. J Hand Surg Br. 2004;29:374-376.
4. Keast-Butler O, Schemitsch EH. Biology versus mechanics in the treatment of distal radial fractures. J Orthop Trauma. 2008;22:S91-S95.
5. Osada D, Kamei S, Masuzaki K, Takai M, Kameda M, Tamai K. Prospective study of distal radius fractures treated with a volar locking plate system. J Hand Surg Am. 2008;33:691-700.
6. Lozano-Calderon SA, Souer S, Mudgal C, Jupiter JB, Ring D. Wrist mobilization following volar plate fixation of fractures of the distal part of the radius. J Bone Joint Surg Am. 2008;90:1297-1304.
7. Orbay JL, Fernandez DL. Volar fixed-angle plate fixation for unstable distal radius fractures in the elderly patient. J Hand Surg Am. 2004;29:96-102.
8. Rozental TD, Beredjiklian PK, Bozentka DJ. Functional outcome and complications following two types of dorsal plating for unstable fractures of the distal part of the radius. J Bone Joint Surg Am. 2003;85-A:1956-1960.
9. Ruch DS, Papadonikolakis A. Volar versus dorsal plating in the management of intra-articular distal radius fractures. J Hand Surg Am. 2006;31:9-16.
10. Kandemir U, Matityahu A, Desai R, Puttlitz C. Does a volar locking plate provide equivalent stability as a dorsal nonlocking plate in a dorsally comminuted distal radius fracture?: a biomechanical study. J Orthop Trauma. 2008;22:605-610.
11. Liporace FA, Gupta S, Jeong GK, et al. A biomechanical comparison of a dorsal 3.5-mm T-plate and a volar fixed-angle plate in a model of dorsally unstable distal radius fractures. J Orthop Trauma. 2005;19:187-191.
12. Orbay JL. The treatment of unstable distal radius fractures with volar fixation. Hand Surg. 2000;5:103-112.
13. Rozental TD, Blazar PE. Functional outcome and complications after volar plating for dorsally displaced, unstable fractures of the distal radius. J Hand Surg Am. 2006;31:359-365.
14. Martineau PA, Waitayawinyu T, Malone KJ, Hanel DP, Trumble TE. Volar plating of AO C3 distal radius fractures: biomechanical evaluation of locking screw and locking smooth peg configurations. J Hand Surg Am. 2008;33:827-834.
15. Drobetz H, Bryant AL, Pokorny T, Spitaler R, Leixnering M, Jupiter JB. Volar fixed-angle plating of distal radius extension fractures: influence of plate position on secondary loss of reduction-a biomechanic study in a cadaveric model. J Hand Surg Am. 2006;31:615-622.
16. Willis AA, Kutsumi K, Zobitz ME, Cooney WP III. Internal fixation of dorsally displaced fractures of the distal part of the radius. A biomechanical analysis of volar plate fracture stability. J Bone Joint Surg Am. 2006;88:2411-2417.
17. Putnam MD, Meyer NJ, Nelson EW, Gesensway D, Lewis JL. Distal radial metaphyseal forces in an extrinsic grip model: implications for postfracture rehabilitation. J Hand Surg Am. 2000;25:469-475.
18. Roberts JW, Grindel SI, Rebholz B, Wang M. Biomechanical evaluation of locking plate radial shaft fixation: unicortical locking fixation versus mixed bicortical and unicortical fixation in a sawbone model. J Hand Surg Am. 2007;32:971-975.
19. Rubel IF, Kloen P, Campbell D, et al. Open reduction and internal fixation of humeral nonunions: a biomechanical and clinical study. J Bone Joint Surg Am. 2002;84-A:1315-1322.
20. Altissimi M, Antenucci R, Fiacca C, Mancini GB. Long-term results of conservative treatment of fractures of the distal radius. Clin Orthop Relat Res. 1986;202-210.
21. Axelrod TS, McMurtry RY. Open reduction and internal fixation of comminuted, intraarticular fractures of the distal radius. J Hand Surg Am. 1990;15:1-11.
22. Ring D, Jupiter JB, Brennwald J, Büchler U, Hastings H II. Prospective multicenter trial of a plate for dorsal fixation of distal radius fractures. J Hand Surg Am. 1997;22:777-784.
23. Arora R, Lutz M, Hennerbichler A, Krappinger D, Espen D, Gabl M. Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate. J Orthop Trauma. 2007;21:316-322.
24. Koh S, Morris RP, Patterson RM, Kearney JP, Buford WL Jr, Viegas SF. Volar fixation for dorsally angulated extra-articular fractures of the distal radius: a biomechanical study. J Hand Surg Am. 2006;31:771-779.