ArticleInternational orthopaedics2020
Complications associated with volar locking plate fixation for distal radius fractures in 1955 cases: A multicentre retrospective study.
Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Extensor Tendon Injury After Volar Locking Plating for Distal Radius Fractures: A Systematic Review.Hand (New York, N.Y.) · 2022Pooled it
- Etiology of trauma-related acute compartment syndrome of the forearm: a systematic review.Journal of orthopaedic surgery and research · 2022Pooled it
- Postoperative infection following volar locking plate fixation of closed distal radius fractures: a retrospective cohort study of infection rates and antibiotic prophylaxis practice.BMC musculoskeletal disorders · 2026Article
- Bilateral simultaneous distal radius fractures with elbow dislocations following a fall from height: A rare orthopedic quadruple injury with review of the literature.Journal of orthopaedic case reports · 2025Article
- Reduction Loss Despite Adequate Volar Locking Plate Fixation in Distal Radius Fractures: Analysis of Characteristics and Follow-up Management.Clinics in orthopedic surgery · 2025Article
- Incidence and risk factors of adverse events after distal radius fracture fixation with volar locking plates: retrospective analysis of 2,790 cases.Acta orthopaedica · 2024Article
- Complications after volar plate synthesis for distal radius fractures.EFORT open reviews · 2024Article
- Article
- Risk for Flexor Pollicis Longus Rupture after Volar Lock Plating for Distal Radius Fracture Lasts Over a Decade.The archives of bone and joint surgery · 2024Article
- The Outcome of under 10 mm Single-Incision Surgery Using a Non-Specialized Volar Plate in Distal Radius Fractures: A Retrospective Comparative Study.Journal of clinical medicine · 2023Article
- Ulnar-Sided Sclerosis of the Lunate Does Not Affect Outcomes in Patients Undergoing Volar Locking Plate Fixation for Distal Radius Fracture.Journal of clinical medicine · 2023Article
- Are external fixators as effective as volar plates in multi-fragmented radius distal intra-articular fractures (AO type C)?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
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11 authors at 5 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeSince volar locking plates (VLPs) have the benefits of more stable fixation and fewer complications, VLP osteosynthesis is now the preferred osteosynthesis method in the operative management of distal radius fractures (DRF). Along with the increases in operative management of VLP, the character and frequency of complications have changed. Thus, this multicentre study aimed to identify the characteristics of patients with DRFs who were treated with VLP fixation, describe the complication types and rates related to the procedure, and compare the results with those found in the literature. MATERIAL AND
methodsThis retrospective multicentre study was conducted between January 2008 and December 2017. In total, data from 2225 patients over 17 years old who underwent VLP fixation for DRF were screened. Patients with closed reduction and pinning, external fixation, dorsal plate fixation, and screw-only fixation were excluded. Finally, 1955 wrists from 1921 patients (86.3%) were included. The following types of complications were investigated: (1) tendon injury, (2) nerve-related, (3) fixation- and instrument-related, (4) osteosynthesis-related, (5) infection, and (6) others.
resultsThe mean age of the patients was 60.3 ± 14.6 years with 587 males (30.6%). Distal ulnar fractures were found in 940 wrists (48.1%). The mean interval between fracture and surgery was 6.2 days, while the mean operative time was 68.3 ± 30.3 minutes. The following complications were found: (1) nine (0.46%) and 12 (0.61%) cases of flexor pollicis longus and complete extensor pollicis longus tears, respectively; (2) nine cases (0.46%) of palmar sensory median nerve branch damage, 15 cases (0.77%) of complex regional pain syndrome, and 36 cases (1.84%) of carpal tunnel syndrome; (3) five cases (0.26%) of fracture displacement even after plate fixation, six cases (0.31%) of screw breakage, 26 cases (1.33%) of radiocarpal joint screw penetration, and 511 cases (26.14%) of implant removal; (4) five cases (0.26%) of delayed union and three cases (0.15%) of non-union; (5) 83 (4.25%) and two (0.1%) cases of superficial and deep infection, respectively; and (6) two cases (0.1%) of compartment syndrome and three cases (0.15%) of radial artery damage.
conclusionsAfter 10 years of experience performing VLP fixation for DRFs in a multicentre setting, the results regarding complication types and rates support its use as a reasonable treatment option with low rates of complication.
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