Radiographic outcomes of dorsal spanning plate with and without volar plate fixation for comminuted intraarticular distal radius fractures

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-02-16 DOI:10.1016/j.jcot.2025.102949

Daniel Calem, Matthew Weintraub, Michael Vosbikian, Irfan Ahmed

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引用次数: 0

Abstract

Purpose

Dorsal spanning plate fixation for comminuted intra-articular distal radius fractures involves indirect reduction via ligamentotaxis, potentially resulting in suboptimal restoration of native anatomy. Displaced volar fragments may necessitate separate buttress support with a volar plate. This objective of this study was to retrospectively compare radiographic outcomes between distal radius fractures managed with dorsal spanning plate fixation alone versus dorsal spanning plate fixation with concomitant volar plating.

Methods

A retrospective review identified 51 distal radius fracture cases treated with dorsal spanning plate fixation, with 35 receiving isolated dorsal spanning plate fixation and 16 receiving dorsal spanning plate fixation with a concomitant volar plate. Radiographic parameters were measured at plate application and removal.

Results

Final radiographs for isolated dorsal spanning plate fixation vs. dorsal spanning and volar plate fixation showed similar outcomes: radial height (9.3 mm vs. 8.9 mm, p = 0.8), ulnar variance (−2.77 mm vs. −2.47 mm, p = 0.76), radial inclination (18.8° vs. 16.3°, p = 0.21), volar tilt (1.3° vs. 2.8°, p = 0.45), and teardrop angle (48.9° vs. 51.0°, p = 0.32). Little to no loss of radiographic alignment was observed between time points.

Conclusions

Radiographic outcomes for distal radius fractures treated with dorsal spanning plate fixation alone versus dorsal spanning plate and volar plate fixation are comparable, with suboptimal restoration of volar tilt and teardrop angle.

Level of evidence

Therapeutic IV.

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.