Distal Radius Fractures, Internal Fixation; Complications, Mechanical Complication of Internal Rod Fixation Device
Conditions
Keywords
bridging plate, distraction plate
Brief summary
using a plate as a distraction method bridging the comminution to restore anatomical parameters to treat comminuted distal radius fracture follow-up functional outcomes of the wrist after metal removal
Detailed description
The plate is extended from the floor of the 2end extensor compartment at an intact radius to the 2end metacarpal by dual minimally invasive skin incisions. One distal over 2end metacarpal and Other proximal over 2end extensor compartment at intact radius application of distal screws 1st, then the traction is done to restore radial length, radial inclination, and volar tilt followed by the application of proximal screws add wires to restore the joint congruity wire removal after 45 days, plate removal after 100 day follow up every 3 months till 1 year post-operative Assess the Functional Outcome Of the wrist joint after metal removal
Interventions
PROCEDUREDistraction Plate
This technique deals with comminuted distal radius fracture using a distraction plate. The plate was inserted by minimally invasive skin incisions, fixed from the 2end metacarpal distally to the 2end extensor compartment at intact radius proximally Spaning the comminution, Restoring the Radial Length, Radial Inclination, Volar Tilt
Sponsors
Mina Hany Moris Zakhary
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Skeletally mature patients 2. presented with multifragmentary distal radius fractures classify type 23-3C according to AO classification 3. articular with or without metaphyseal comminution 4. Very distal fractures 5 )osteoporotic bone fractures
Exclusion criteria
1. Dorsal soft tissue defect or tendon injuries 2. Metacarpal fractures (esp 2end MC) 3. open grade 3 fractures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modified Mayo Wrist Score (MMWS) | Mean follow-up period is 1 year postoperative. | Combines subjective and objective parameters to evaluate wrist functionality. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Wrist Range of Movement | Mean follow-up period is 1 year postoperative. | Measurements include: Flexion (degrees) Extension (degrees) Pronation (degrees) Supination (degrees) Each measurement will be assessed separately using a goniometer. |
Countries
Egypt
Outcome results
None listed