Failure of volar locking plate fixation of an extraarticular distal radius fracture: A case report
<p>Abstract</p> <p>Background</p> <p>Volar locking plates provide significant structural stability to the distal radius. Failure of a volar locked plating is a rarely reported complication in the literature.</p> <p>Case Presentation</p> <p>A 40 y...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2010-11-01
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| Series: | Patient Safety in Surgery |
| Online Access: | http://www.pssjournal.com/content/4/1/19 |
| _version_ | 1818806262805037056 |
|---|---|
| author | Ozer Kagan Cao Jue |
| author_facet | Ozer Kagan Cao Jue |
| author_sort | Ozer Kagan |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Volar locking plates provide significant structural stability to the distal radius. Failure of a volar locked plating is a rarely reported complication in the literature.</p> <p>Case Presentation</p> <p>A 40 year-old, obese female patient who presented with a displaced extraarticular distal radius fracture, underwent open reduction and internal fixation of the fracture using a volar locking plate. Radiographs taken at 10 weeks postoperatively showed failure of fixation with breakage of the four distal locking screws. A hardware removal was performed at 6 months, and the patient was then lost to follow-up. She presented again at 18 months after the first surgery, with significant pain, and radiographic signs of a radial collapse and a fracture-nonunion. A total wrist fusion was performed as the method of choice at that point in time.</p> <p>Conclusion</p> <p>Volar locked plating represents the new "gold standard" of distal radius fracture fixation. However, despite the stability provided by locking plates, hardware failure may occur and lead to a cascade of complications which will ultimately require a wrist fusion, as outlined in this case report. Additional structural support by bone grafting may be needed in selected cases of volar locked plating, particularly in patients with a high risk of developing a fracture-nonunion.</p> |
| first_indexed | 2024-12-18T19:06:59Z |
| format | Article |
| id | doaj.art-60bd02b43308473385480deaec4ddadf |
| institution | Directory Open Access Journal |
| issn | 1754-9493 |
| language | English |
| last_indexed | 2024-12-18T19:06:59Z |
| publishDate | 2010-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Patient Safety in Surgery |
| spelling | doaj.art-60bd02b43308473385480deaec4ddadf2022-12-21T20:56:23ZengBMCPatient Safety in Surgery1754-94932010-11-01411910.1186/1754-9493-4-19Failure of volar locking plate fixation of an extraarticular distal radius fracture: A case reportOzer KaganCao Jue<p>Abstract</p> <p>Background</p> <p>Volar locking plates provide significant structural stability to the distal radius. Failure of a volar locked plating is a rarely reported complication in the literature.</p> <p>Case Presentation</p> <p>A 40 year-old, obese female patient who presented with a displaced extraarticular distal radius fracture, underwent open reduction and internal fixation of the fracture using a volar locking plate. Radiographs taken at 10 weeks postoperatively showed failure of fixation with breakage of the four distal locking screws. A hardware removal was performed at 6 months, and the patient was then lost to follow-up. She presented again at 18 months after the first surgery, with significant pain, and radiographic signs of a radial collapse and a fracture-nonunion. A total wrist fusion was performed as the method of choice at that point in time.</p> <p>Conclusion</p> <p>Volar locked plating represents the new "gold standard" of distal radius fracture fixation. However, despite the stability provided by locking plates, hardware failure may occur and lead to a cascade of complications which will ultimately require a wrist fusion, as outlined in this case report. Additional structural support by bone grafting may be needed in selected cases of volar locked plating, particularly in patients with a high risk of developing a fracture-nonunion.</p>http://www.pssjournal.com/content/4/1/19 |
| spellingShingle | Ozer Kagan Cao Jue Failure of volar locking plate fixation of an extraarticular distal radius fracture: A case report Patient Safety in Surgery |
| title | Failure of volar locking plate fixation of an extraarticular distal radius fracture: A case report |
| title_full | Failure of volar locking plate fixation of an extraarticular distal radius fracture: A case report |
| title_fullStr | Failure of volar locking plate fixation of an extraarticular distal radius fracture: A case report |
| title_full_unstemmed | Failure of volar locking plate fixation of an extraarticular distal radius fracture: A case report |
| title_short | Failure of volar locking plate fixation of an extraarticular distal radius fracture: A case report |
| title_sort | failure of volar locking plate fixation of an extraarticular distal radius fracture a case report |
| url | http://www.pssjournal.com/content/4/1/19 |
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