The extended flexor carpi radialis approach for partially healed malaligned fractures of the distal radius
Abstract Purpose The aim of the study is to evaluate the safety and utility of the extended flexor carpi radialis (FCR) exposure and volar locking plate fixation for partially healed malaligned fractures of distal radius. Materials and methods Thirty-five patients with a partially healed malaligned...
Gespeichert in:
| Veröffentlicht in: | Injury 2012-07, Vol.43 (7), p.1204-1208 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1208 |
|---|---|
| container_issue | 7 |
| container_start_page | 1204 |
| container_title | Injury |
| container_volume | 43 |
| creator | Wijffels, Mathieu M.E Orbay, Jorge L Indriago, Igor Ring, David |
| description | Abstract Purpose The aim of the study is to evaluate the safety and utility of the extended flexor carpi radialis (FCR) exposure and volar locking plate fixation for partially healed malaligned fractures of distal radius. Materials and methods Thirty-five patients with a partially healed malaligned fracture of the distal radius had realignment of the fracture using an extended FCR approach (release of the insertion of the brachioradialis and dorsal periosteum) and volar locked plate and screw fixation. Results Retrospective review an average of 20 months after the index operation patients identified an average wrist extension of 68°, flexion of 64°, pronation of 84° and supination of 85°. Radial inclination, volar tilt and ulnar variance significantly improved compared to preoperative radiographs. All fractures healed, and there were no infections, implant loosening or breakage or tendon ruptures. Conclusions This study demonstrated that the extended FCR approach is safe and effective as a treatment method for nascent malunions of the distal radius. |
| doi_str_mv | 10.1016/j.injury.2012.04.002 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1021126315</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0020138312001295</els_id><sourcerecordid>1021126315</sourcerecordid><originalsourceid>FETCH-LOGICAL-c483t-db2890b80f504cceb9dbde63a5ec8c523e858dd52102affb250d7a38a7dc7d9a3</originalsourceid><addsrcrecordid>eNqFkc1u1DAUhS0EokPLGyDkJZsE_8SJs0FCVaFIlbqgXVs39g3j4EmCnVSdt8dhCgs2XVm6_s659jmEvOOs5IzXH4fSj8Maj6VgXJSsKhkTL8iO66YtmKibl2SXJ6zgUssz8ialgTHeMClfkzMhVCV43ezIcLdHio8Ljg4d7QM-TpFaiLOnEZyH4BOFeY4T2D3t890MccnjcKR7hJA1BwiZ-jFu8gh2WSMmOvV0ycbOpwXCH6c1XZBXPYSEb5_Oc3L_5eru8rq4uf367fLzTWErLZfCdUK3rNOsV6yyFrvWdQ5rCQqttkpI1Eo7pwRnAvq-E4q5BqSGxtnGtSDPyYeTb371rxXTYg4-WQwBRpzWZLKOc1FLrjJanVAbp5Qi9maO_gDxmCGzpWwGc0rZbCkbVpmcaZa9f9qwdgd0_0R_Y83ApxOA-Z8PHqNJ1uNo0fmIdjFu8s9t-N_ABj96C-EnHjEN0xrHnKHhJmWN-b41vRXNRS5ZtEr-Bj76pw0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1021126315</pqid></control><display><type>article</type><title>The extended flexor carpi radialis approach for partially healed malaligned fractures of the distal radius</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Wijffels, Mathieu M.E ; Orbay, Jorge L ; Indriago, Igor ; Ring, David</creator><creatorcontrib>Wijffels, Mathieu M.E ; Orbay, Jorge L ; Indriago, Igor ; Ring, David</creatorcontrib><description>Abstract Purpose The aim of the study is to evaluate the safety and utility of the extended flexor carpi radialis (FCR) exposure and volar locking plate fixation for partially healed malaligned fractures of distal radius. Materials and methods Thirty-five patients with a partially healed malaligned fracture of the distal radius had realignment of the fracture using an extended FCR approach (release of the insertion of the brachioradialis and dorsal periosteum) and volar locked plate and screw fixation. Results Retrospective review an average of 20 months after the index operation patients identified an average wrist extension of 68°, flexion of 64°, pronation of 84° and supination of 85°. Radial inclination, volar tilt and ulnar variance significantly improved compared to preoperative radiographs. All fractures healed, and there were no infections, implant loosening or breakage or tendon ruptures. Conclusions This study demonstrated that the extended FCR approach is safe and effective as a treatment method for nascent malunions of the distal radius.</description><identifier>ISSN: 0020-1383</identifier><identifier>EISSN: 1879-0267</identifier><identifier>DOI: 10.1016/j.injury.2012.04.002</identifier><identifier>PMID: 22542167</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Bone Malalignment - diagnostic imaging ; Bone Malalignment - physiopathology ; Bone Malalignment - surgery ; Bone Plates ; Distal radius ; Extended FCR ; Female ; Fracture Fixation, Internal - methods ; Fracture Healing ; Humans ; Male ; Malunion ; Middle Aged ; Orthopedics ; Pronation ; Radiography ; Radius Fractures - diagnostic imaging ; Radius Fractures - physiopathology ; Radius Fractures - surgery ; Range of Motion, Articular ; Recovery of Function ; Retrospective Studies ; Supination ; Treatment Outcome ; Volar plating ; Wrist Joint - physiopathology ; Wrist Joint - surgery</subject><ispartof>Injury, 2012-07, Vol.43 (7), p.1204-1208</ispartof><rights>Elsevier Ltd</rights><rights>2012 Elsevier Ltd</rights><rights>Copyright © 2012 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-db2890b80f504cceb9dbde63a5ec8c523e858dd52102affb250d7a38a7dc7d9a3</citedby><cites>FETCH-LOGICAL-c483t-db2890b80f504cceb9dbde63a5ec8c523e858dd52102affb250d7a38a7dc7d9a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.injury.2012.04.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22542167$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wijffels, Mathieu M.E</creatorcontrib><creatorcontrib>Orbay, Jorge L</creatorcontrib><creatorcontrib>Indriago, Igor</creatorcontrib><creatorcontrib>Ring, David</creatorcontrib><title>The extended flexor carpi radialis approach for partially healed malaligned fractures of the distal radius</title><title>Injury</title><addtitle>Injury</addtitle><description>Abstract Purpose The aim of the study is to evaluate the safety and utility of the extended flexor carpi radialis (FCR) exposure and volar locking plate fixation for partially healed malaligned fractures of distal radius. Materials and methods Thirty-five patients with a partially healed malaligned fracture of the distal radius had realignment of the fracture using an extended FCR approach (release of the insertion of the brachioradialis and dorsal periosteum) and volar locked plate and screw fixation. Results Retrospective review an average of 20 months after the index operation patients identified an average wrist extension of 68°, flexion of 64°, pronation of 84° and supination of 85°. Radial inclination, volar tilt and ulnar variance significantly improved compared to preoperative radiographs. All fractures healed, and there were no infections, implant loosening or breakage or tendon ruptures. Conclusions This study demonstrated that the extended FCR approach is safe and effective as a treatment method for nascent malunions of the distal radius.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bone Malalignment - diagnostic imaging</subject><subject>Bone Malalignment - physiopathology</subject><subject>Bone Malalignment - surgery</subject><subject>Bone Plates</subject><subject>Distal radius</subject><subject>Extended FCR</subject><subject>Female</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fracture Healing</subject><subject>Humans</subject><subject>Male</subject><subject>Malunion</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Pronation</subject><subject>Radiography</subject><subject>Radius Fractures - diagnostic imaging</subject><subject>Radius Fractures - physiopathology</subject><subject>Radius Fractures - surgery</subject><subject>Range of Motion, Articular</subject><subject>Recovery of Function</subject><subject>Retrospective Studies</subject><subject>Supination</subject><subject>Treatment Outcome</subject><subject>Volar plating</subject><subject>Wrist Joint - physiopathology</subject><subject>Wrist Joint - surgery</subject><issn>0020-1383</issn><issn>1879-0267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1u1DAUhS0EokPLGyDkJZsE_8SJs0FCVaFIlbqgXVs39g3j4EmCnVSdt8dhCgs2XVm6_s659jmEvOOs5IzXH4fSj8Maj6VgXJSsKhkTL8iO66YtmKibl2SXJ6zgUssz8ialgTHeMClfkzMhVCV43ezIcLdHio8Ljg4d7QM-TpFaiLOnEZyH4BOFeY4T2D3t890MccnjcKR7hJA1BwiZ-jFu8gh2WSMmOvV0ycbOpwXCH6c1XZBXPYSEb5_Oc3L_5eru8rq4uf367fLzTWErLZfCdUK3rNOsV6yyFrvWdQ5rCQqttkpI1Eo7pwRnAvq-E4q5BqSGxtnGtSDPyYeTb371rxXTYg4-WQwBRpzWZLKOc1FLrjJanVAbp5Qi9maO_gDxmCGzpWwGc0rZbCkbVpmcaZa9f9qwdgd0_0R_Y83ApxOA-Z8PHqNJ1uNo0fmIdjFu8s9t-N_ABj96C-EnHjEN0xrHnKHhJmWN-b41vRXNRS5ZtEr-Bj76pw0</recordid><startdate>20120701</startdate><enddate>20120701</enddate><creator>Wijffels, Mathieu M.E</creator><creator>Orbay, Jorge L</creator><creator>Indriago, Igor</creator><creator>Ring, David</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120701</creationdate><title>The extended flexor carpi radialis approach for partially healed malaligned fractures of the distal radius</title><author>Wijffels, Mathieu M.E ; Orbay, Jorge L ; Indriago, Igor ; Ring, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-db2890b80f504cceb9dbde63a5ec8c523e858dd52102affb250d7a38a7dc7d9a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bone Malalignment - diagnostic imaging</topic><topic>Bone Malalignment - physiopathology</topic><topic>Bone Malalignment - surgery</topic><topic>Bone Plates</topic><topic>Distal radius</topic><topic>Extended FCR</topic><topic>Female</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fracture Healing</topic><topic>Humans</topic><topic>Male</topic><topic>Malunion</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Pronation</topic><topic>Radiography</topic><topic>Radius Fractures - diagnostic imaging</topic><topic>Radius Fractures - physiopathology</topic><topic>Radius Fractures - surgery</topic><topic>Range of Motion, Articular</topic><topic>Recovery of Function</topic><topic>Retrospective Studies</topic><topic>Supination</topic><topic>Treatment Outcome</topic><topic>Volar plating</topic><topic>Wrist Joint - physiopathology</topic><topic>Wrist Joint - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wijffels, Mathieu M.E</creatorcontrib><creatorcontrib>Orbay, Jorge L</creatorcontrib><creatorcontrib>Indriago, Igor</creatorcontrib><creatorcontrib>Ring, David</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wijffels, Mathieu M.E</au><au>Orbay, Jorge L</au><au>Indriago, Igor</au><au>Ring, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The extended flexor carpi radialis approach for partially healed malaligned fractures of the distal radius</atitle><jtitle>Injury</jtitle><addtitle>Injury</addtitle><date>2012-07-01</date><risdate>2012</risdate><volume>43</volume><issue>7</issue><spage>1204</spage><epage>1208</epage><pages>1204-1208</pages><issn>0020-1383</issn><eissn>1879-0267</eissn><abstract>Abstract Purpose The aim of the study is to evaluate the safety and utility of the extended flexor carpi radialis (FCR) exposure and volar locking plate fixation for partially healed malaligned fractures of distal radius. Materials and methods Thirty-five patients with a partially healed malaligned fracture of the distal radius had realignment of the fracture using an extended FCR approach (release of the insertion of the brachioradialis and dorsal periosteum) and volar locked plate and screw fixation. Results Retrospective review an average of 20 months after the index operation patients identified an average wrist extension of 68°, flexion of 64°, pronation of 84° and supination of 85°. Radial inclination, volar tilt and ulnar variance significantly improved compared to preoperative radiographs. All fractures healed, and there were no infections, implant loosening or breakage or tendon ruptures. Conclusions This study demonstrated that the extended FCR approach is safe and effective as a treatment method for nascent malunions of the distal radius.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>22542167</pmid><doi>10.1016/j.injury.2012.04.002</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0020-1383 |
| ispartof | Injury, 2012-07, Vol.43 (7), p.1204-1208 |
| issn | 0020-1383 1879-0267 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1021126315 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Aged Aged, 80 and over Bone Malalignment - diagnostic imaging Bone Malalignment - physiopathology Bone Malalignment - surgery Bone Plates Distal radius Extended FCR Female Fracture Fixation, Internal - methods Fracture Healing Humans Male Malunion Middle Aged Orthopedics Pronation Radiography Radius Fractures - diagnostic imaging Radius Fractures - physiopathology Radius Fractures - surgery Range of Motion, Articular Recovery of Function Retrospective Studies Supination Treatment Outcome Volar plating Wrist Joint - physiopathology Wrist Joint - surgery |
| title | The extended flexor carpi radialis approach for partially healed malaligned fractures of the distal radius |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T04%3A02%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20extended%20flexor%20carpi%20radialis%20approach%20for%20partially%20healed%20malaligned%20fractures%20of%20the%20distal%20radius&rft.jtitle=Injury&rft.au=Wijffels,%20Mathieu%20M.E&rft.date=2012-07-01&rft.volume=43&rft.issue=7&rft.spage=1204&rft.epage=1208&rft.pages=1204-1208&rft.issn=0020-1383&rft.eissn=1879-0267&rft_id=info:doi/10.1016/j.injury.2012.04.002&rft_dat=%3Cproquest_cross%3E1021126315%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1021126315&rft_id=info:pmid/22542167&rft_els_id=1_s2_0_S0020138312001295&rfr_iscdi=true |