This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by SUCKEL, A. Articles by MÜNST, P. Search for Related Content PubMed PubMed Citation Articles by SUCKEL, A. Articles by MÜNST, P. Social Bookmarking                         What's this?

Dorsal (AO/ASIF) Pi-Plate Osteosynthesis in the Treatment of Distal Intraarticular Radius Fractures

From the Orthopaedische Universitätsklinik mit Poliklinik, Tuebingen, Germany and Klinik für Unfallchirurgie, Kreiskrankenhaus Leonberg, Germany

Correspondence: Dr. med. Andreas Suckel, Orthopädische Universitätsklinik, Hoppe Seyler Str. 3, 72076 Tübingen, Germany Tel.: +7071 29 0; fax: +711 4899449. E-mail: Andreas.Suckel{at}med.uni-tuebingen.de

The results and complications using the dorsal 2.4 mm 2.7 mm (AO/ASIF) pi-plate for the treatment of distal radius fractures were evaluated in a prospective study of 42 patients followed up clinically and radiologically and seven patients followed up with telephone call and radiological follow-up for an average time of 12.1 (range 4–32) months in a group of 50 patients with intraarticular distal radial fractures treated consecutively using this method. Twelve complications occurred in 10 patients including two extensor tendon ruptures, two transient cases of CRPS Type 1 (Reflex Sympathetic Dystrophy, Algodystrophy), two instances of screw loosening, three cases of posttraumatic carpal tunnel syndrome and three permanent sensory irritations on the dorsum of the hands. Using the AO score, there were 37 successful and 12 tolerable results, with no unsatisfactory outcomes. Using the NYOWR scale, there were 17 very good and 25 good results, with no satisfactory or poor outcomes. These results suggest that this osteosynthesis provides adequate fixation of comminuted distal intraarticular radius fractures with a reasonable incidence of complications.

Key Words: distal radius fracture • comminute radius fracture • pi-plate • dorsal radius plate • extensor tendon rupture

Journal of Hand Surgery (British and European Volume), Vol. 31, No. 6, 673-679 (2006)
DOI: 10.1016/J.JHSB.2006.08.007


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?