Skip to main content

An Advanced Study on Volar Locking Plate as a Surgical Procedure for Distal Radius Fracture | Chapter 1 | New Frontiers in Medicine and Medical Research Vol. 7

The most common type of upper extremity fracture is DRF (distal radius fractures), which account for 44 percent of all forearm and hand fractures. The goal of surgical treatment for DRF that is unstable is to reestablish wrist function. Volar locking plates, according to some in the literature, are the most versatile surgical approach for treating these fractures. The goal of this study is to find out if the volar locking plate is the only surgical approach for treating all types of distal radius fractures while also lowering the rate of postoperative complications.

Materials and Methods: For unstable distal radius fractures, a volar locking plate was used to treat 104 fractures in 98 patients with an average age of 48,5 years. AO/OTA classified all fractures as A2-3 in 27 cases, B1-3 in 45 cases, and C1-3 in 32 occurrences. The majority of patients were operated on within 48 to 72 hours of their injuries. In all DRFs, a volar locking device was used, as well as an extended flexor carpi radialis approach. In sixteen cases with base of ulnar styloid fractures, low-profile locking plates were used, whereas Kirschner wires were used in the other patients. Following surgery, all patients had a standard rehabilitation programme that comprised passive and vigorous finger and wrist mobilisation.

Results: When evaluating patients, complications, time to fracture union, range of motion, Visual Analogue Scale, Quick Dash Score, and Patients-Rated Wrist Evaluation score were all considered. Patients with type A2-3 and B1-3 fractures under 60 years old exhibited a greater range of motion and grip strength than those over 65. In participants with type fractures C1-3 and an age of above 65, ROM and grip strength were reduced when compared to the unilateral side. In comparison to the other two types of fractures, type C1-3 appeared to have a higher percentage of complications and reoperation. Finally, type A, B, and C1 had higher Quick-DASH, PRWE, and range of motion rates than type C2-3.

In recent years, unstable fractures have necessitated surgery, with the volar locking plate acting as the gold standard. Unfortunately, VPL has postoperative issues with comminuted fractures or soft tissue injury that should not be neglected, and it may be insufficient for all types of distal radius fractures for these reasons.


Author (S) Details

G. Kastanis
Department of Orthopaedic, General Hospital of Heraklion –Venizeleio, Crete, Greece and Reconstructive Hand Surgery Unit, General Hospital of Heraklion –Venizeleio, Crete, Greece.

G. Magarakis
Department of Orthopaedic, General Hospital of Heraklion –Venizeleio, Crete, Greece.

P. Kapsetakis
Department of Orthopaedic, General Hospital of Heraklion –Venizeleio, Crete, Greece.

I. Stavrakakis
Department of Orthopaedic, General Hospital of Heraklion –Venizeleio, Crete, Greece.

A. Pantouvaki
Reconstructive Hand Surgery Unit, General Hospital of Heraklion –Venizeleio, Crete, Greece and Department of Physiotherapy, General Hospital of Heraklion –Venizeleio, Crete, Greece.


View Book :- https://stm.bookpi.org/NFMMR-V7/article/view/3214

Labels:

Comments

Post a Comment

Popular posts from this blog

Greening Regional Airports: A Vision for Carbon Neutral Infrastructure | Chapter 12 | Contemporary Perspective on Science, Technology and Research Vol. 3

 This study provides an overview of the energy demand of a regional airport, divided into individual time horizons. The electrification of aircraft systems raises the question of whether airports will be among the largest electricity consumers in our infrastructure in the future. Sustainability and especially emission reductions are significant challenges for airports that are currently being addressed. The Clean Sky 2 project GENESIS addresses the environmental sustainability of hybrid-electric 50-passenger aircraft systems in a life cycle perspective to support the development of a technology roadmap for the transition to sustainable and competitive electric aircraft systems. This article originates from the GENESIS research and describes various options for ground power supply at a regional airport. Potential solutions for airport infrastructure with a short (2030), medium (2040), and long (2050) time horizon are proposed. In addition to the environmental and conservation benefi...
Post a Comment
Read more

Study on Processing Method Influences the Effect of Cassava (Manihot esculenta) Consumption on Blood Lipid Profile in Rats | Chapter 8 | Current Research and Development in Chemistry Vol.1

Cassava is consumed in many tropical countries and is fast becoming the major raw material of many diets, especially in the bakery, brewery and pharmaceutical industries. In a study to determine the effects of various formulations of Cassava feeds on blood lipid profile in rats. Forty adult Wistar rats weighing between 120 and 150 g were divided into 4 groups of 10 rats each. The rats were acclimatized for one week; fed with different formulations of Cassava feeds adlibitum, after which the rats were allotted into groups. Group 1 was fed on Garri; group 2 on Cassava flour; group 3 on Tapioca, and the control group (group 4) on normal chow. After 4 weeks, each animal was anaesthetized by exposure to chloroform vapour and blood samples collected by cardiac puncture. Group 1 diet (Garri) significantly increased HDL-cholesterol (HDL-C) concentration and significantly decreased LDL-cholesterol (LDL-C) concentration (p<0.05) compared with the control group. In Group 2 (Cassava flour), t...
Post a Comment
Read more

Ethnopharmacological Survey among Traditional Medicine Practitioners in Abidjan (Côte d'Ivoire) for the Management of Pathologies such as Malaria, ENT Diseases, Diarrhea, Typhoid Fever and Anemia | Chapter 05 | New Horizons in Medicine and Medical Research Vol. 8

 Traditional Medicine Practitioners (TMPs) of Côte d'Ivoire are familiar with the therapeutic herbs. Medicinal plants have been shown to be useful in the treatment of common diseases such as malaria (KROA, 2004) and diabetes (N'GUESSAN et al, 2013) in several studies and scientific study. In the Abidjan District, the current policy is to integrate traditional medicine and pharmacopoeia into the national health system in order to improve population health coverage, particularly in the management of commonly encountered diseases such as malaria, ENT diseases, diarrhoea, typhoid fever, and anaemia. This research aims to increase the use of traditional medicine and pharmacopoeia in the national health system. Over the course of three months, fifty (50) PMTs in the District of Abidjan participated in this study. Plant therapists accounted for 30 of the 50 PMTs polled at the end of the study, or 60%. Traditional medicine centres use 61 types of medicinal plants from 36 famili...
Post a Comment
Read more