Distal Radius Fracture Surgery with Anatomic Volar Plate in Adolescents and Young Adults
Seppänen, Aleksanteri (2023-03-18)
Distal Radius Fracture Surgery with Anatomic Volar Plate in Adolescents and Young Adults
(18.03.2023)
Julkaisu on tekijänoikeussäännösten alainen. Teosta voi lukea ja tulostaa henkilökohtaista käyttöä varten. Käyttö kaupallisiin tarkoituksiin on kielletty.
suljettu
Julkaisun pysyvä osoite on:
https://urn.fi/URN:NBN:fi-fe2023032032593
https://urn.fi/URN:NBN:fi-fe2023032032593
Tiivistelmä
ABSTRACT
Background: Distal radius fractures are the most common fractures among
teenagers. In addition to Kirschner wires, after growth plate closure anatomical volar
radius plates may also be used for fixation. Current volar plates have been designed
to fit the wrist of an average adult patients. The aim of this article is to review the use
and the suitability of said plates in the treatment of teenagers.
Methods: Retrospective data from patient records was collected on 59 patients, aged
from 13 to 19 years, who underwent a plate fixation of distal radius at a tertiary center
(level one university trauma hospital). 31 of 59 patients had been operated using an
anatomic plate. We reviewed and analyzed patient characteristics, injury
mechanisms and types, post-operative complication and pre- and postoperative
radiological parameters.
Results: 29 wrists were operated using volar and three using a dorsal anatomic plate.
Out of the 29 wrists, in 17 (58,6%) wrists the plate positioning corresponded to
Soong gr II. In our follow-up period the incidence of the post-operative complications
was not greater than reported among adults. The plate was removed post-operatively
in two instances. One removal was done due to inadequate plate positioning causing
tendon irritation, and the other due to superficial wound infection. No patients under
15 years of age were operated using the anatomic volar plate.
Conclusions: We infer that the use of volar locking plates is an applicable treatment
method operating distal radius fractures of teenagers with no significant increase in
the risk of short-term complications. Further research is required to assess the long-
term impact on the flexor tendons and complications.
Background: Distal radius fractures are the most common fractures among
teenagers. In addition to Kirschner wires, after growth plate closure anatomical volar
radius plates may also be used for fixation. Current volar plates have been designed
to fit the wrist of an average adult patients. The aim of this article is to review the use
and the suitability of said plates in the treatment of teenagers.
Methods: Retrospective data from patient records was collected on 59 patients, aged
from 13 to 19 years, who underwent a plate fixation of distal radius at a tertiary center
(level one university trauma hospital). 31 of 59 patients had been operated using an
anatomic plate. We reviewed and analyzed patient characteristics, injury
mechanisms and types, post-operative complication and pre- and postoperative
radiological parameters.
Results: 29 wrists were operated using volar and three using a dorsal anatomic plate.
Out of the 29 wrists, in 17 (58,6%) wrists the plate positioning corresponded to
Soong gr II. In our follow-up period the incidence of the post-operative complications
was not greater than reported among adults. The plate was removed post-operatively
in two instances. One removal was done due to inadequate plate positioning causing
tendon irritation, and the other due to superficial wound infection. No patients under
15 years of age were operated using the anatomic volar plate.
Conclusions: We infer that the use of volar locking plates is an applicable treatment
method operating distal radius fractures of teenagers with no significant increase in
the risk of short-term complications. Further research is required to assess the long-
term impact on the flexor tendons and complications.