Supplemental metaphyseal fixation of severe comminuted distal radius fracture with a mini plate
Backgrounds The treatment of complex distal radius fractures, particularly those involving both intra-articular disruption and significant metaphyseal comminution, remains a considerable surgical challenge. While volar locking plates have become a widely accepted standard for stabilizing these fract...
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| Published in | BMC musculoskeletal disorders Vol. 26; no. 1; pp. 201 - 9 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
London
BioMed Central
27.02.2025
BioMed Central Ltd BMC |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1471-2474 1471-2474 |
| DOI | 10.1186/s12891-025-08332-5 |
Cover
| Abstract | Backgrounds
The treatment of complex distal radius fractures, particularly those involving both intra-articular disruption and significant metaphyseal comminution, remains a considerable surgical challenge. While volar locking plates have become a widely accepted standard for stabilizing these fractures, alone they may not address all fracture patterns. This study presents a surgical approach that incorporates the use of a mini-plate to provide targeted support for the metaphyseal region. We hypothesize that combining a mini-plate for metaphyseal stabilization with a volar locking plate for overall fracture fixation will enhance the structural stability and radiologic outcomes of metaphyseal comminuted distal radius fractures.
Subjects and methods
Eight cases of distal radius fractures involving comminution extending to the metaphysis treated surgically at Samsung Changwon Hospital during 2013–2023 were retrospectively analyzed. All patients had distal radius fractures with severe comminution at the metaphysis, where an added mini-plate was used to fix the fragments before applying the final volar locking plate. Using patient medical records, the mechanism of injury; presence of osteoporosis; type of fracture; radiologic parameters, final range of motion of the wrist; Mayo score and Disabilities of the Arm, Shoulder, and Hand (DASH) scores were investigated.
Results
The average age of the participants was 66 years. After a mean follow-up of 30.1 months, all patients achieved proper bone union. The median total range of motion of the wrist joint was 110.6° (40°–170°) at final follow-up. The radiographic parameters showed significant improvement postoperatively compared to preoperatively. The ulnar variance improved from a median of 5 mm to 0.5 mm (
P
= 0.013), the median teardrop angle increased from 33° to 59° (
P
= 0.012), and the median lateral palmar tilt improved from − 15.5° to 10.5° (
P
= 0.033). The median DASH score was 35.6 points, and the median Mayo score was 75.2 points.
Conclusion
By initially securing larger metaphyseal fragments with mini-plates, we transform a comminuted metaphyseal fracture into a simpler fracture pattern. This approach stabilizes the metaphyseal region, maintains radial length, and facilitates subsequent reduction of intra-articular fractures, thereby simplifying the surgical procedure. This method is a valuable addition to the surgical treatment options for managing such challenging fractures. |
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| AbstractList | The treatment of complex distal radius fractures, particularly those involving both intra-articular disruption and significant metaphyseal comminution, remains a considerable surgical challenge. While volar locking plates have become a widely accepted standard for stabilizing these fractures, alone they may not address all fracture patterns. This study presents a surgical approach that incorporates the use of a mini-plate to provide targeted support for the metaphyseal region. We hypothesize that combining a mini-plate for metaphyseal stabilization with a volar locking plate for overall fracture fixation will enhance the structural stability and radiologic outcomes of metaphyseal comminuted distal radius fractures. Eight cases of distal radius fractures involving comminution extending to the metaphysis treated surgically at Samsung Changwon Hospital during 2013-2023 were retrospectively analyzed. All patients had distal radius fractures with severe comminution at the metaphysis, where an added mini-plate was used to fix the fragments before applying the final volar locking plate. Using patient medical records, the mechanism of injury; presence of osteoporosis; type of fracture; radiologic parameters, final range of motion of the wrist; Mayo score and Disabilities of the Arm, Shoulder, and Hand (DASH) scores were investigated. The average age of the participants was 66 years. After a mean follow-up of 30.1 months, all patients achieved proper bone union. The median total range of motion of the wrist joint was 110.6° (40°-170°) at final follow-up. The radiographic parameters showed significant improvement postoperatively compared to preoperatively. The ulnar variance improved from a median of 5 mm to 0.5 mm (P = 0.013), the median teardrop angle increased from 33° to 59° (P = 0.012), and the median lateral palmar tilt improved from - 15.5° to 10.5° (P = 0.033). The median DASH score was 35.6 points, and the median Mayo score was 75.2 points. By initially securing larger metaphyseal fragments with mini-plates, we transform a comminuted metaphyseal fracture into a simpler fracture pattern. This approach stabilizes the metaphyseal region, maintains radial length, and facilitates subsequent reduction of intra-articular fractures, thereby simplifying the surgical procedure. This method is a valuable addition to the surgical treatment options for managing such challenging fractures. The treatment of complex distal radius fractures, particularly those involving both intra-articular disruption and significant metaphyseal comminution, remains a considerable surgical challenge. While volar locking plates have become a widely accepted standard for stabilizing these fractures, alone they may not address all fracture patterns. This study presents a surgical approach that incorporates the use of a mini-plate to provide targeted support for the metaphyseal region. We hypothesize that combining a mini-plate for metaphyseal stabilization with a volar locking plate for overall fracture fixation will enhance the structural stability and radiologic outcomes of metaphyseal comminuted distal radius fractures.BACKGROUNDSThe treatment of complex distal radius fractures, particularly those involving both intra-articular disruption and significant metaphyseal comminution, remains a considerable surgical challenge. While volar locking plates have become a widely accepted standard for stabilizing these fractures, alone they may not address all fracture patterns. This study presents a surgical approach that incorporates the use of a mini-plate to provide targeted support for the metaphyseal region. We hypothesize that combining a mini-plate for metaphyseal stabilization with a volar locking plate for overall fracture fixation will enhance the structural stability and radiologic outcomes of metaphyseal comminuted distal radius fractures.Eight cases of distal radius fractures involving comminution extending to the metaphysis treated surgically at Samsung Changwon Hospital during 2013-2023 were retrospectively analyzed. All patients had distal radius fractures with severe comminution at the metaphysis, where an added mini-plate was used to fix the fragments before applying the final volar locking plate. Using patient medical records, the mechanism of injury; presence of osteoporosis; type of fracture; radiologic parameters, final range of motion of the wrist; Mayo score and Disabilities of the Arm, Shoulder, and Hand (DASH) scores were investigated.SUBJECTS AND METHODSEight cases of distal radius fractures involving comminution extending to the metaphysis treated surgically at Samsung Changwon Hospital during 2013-2023 were retrospectively analyzed. All patients had distal radius fractures with severe comminution at the metaphysis, where an added mini-plate was used to fix the fragments before applying the final volar locking plate. Using patient medical records, the mechanism of injury; presence of osteoporosis; type of fracture; radiologic parameters, final range of motion of the wrist; Mayo score and Disabilities of the Arm, Shoulder, and Hand (DASH) scores were investigated.The average age of the participants was 66 years. After a mean follow-up of 30.1 months, all patients achieved proper bone union. The median total range of motion of the wrist joint was 110.6° (40°-170°) at final follow-up. The radiographic parameters showed significant improvement postoperatively compared to preoperatively. The ulnar variance improved from a median of 5 mm to 0.5 mm (P = 0.013), the median teardrop angle increased from 33° to 59° (P = 0.012), and the median lateral palmar tilt improved from - 15.5° to 10.5° (P = 0.033). The median DASH score was 35.6 points, and the median Mayo score was 75.2 points.RESULTSThe average age of the participants was 66 years. After a mean follow-up of 30.1 months, all patients achieved proper bone union. The median total range of motion of the wrist joint was 110.6° (40°-170°) at final follow-up. The radiographic parameters showed significant improvement postoperatively compared to preoperatively. The ulnar variance improved from a median of 5 mm to 0.5 mm (P = 0.013), the median teardrop angle increased from 33° to 59° (P = 0.012), and the median lateral palmar tilt improved from - 15.5° to 10.5° (P = 0.033). The median DASH score was 35.6 points, and the median Mayo score was 75.2 points.By initially securing larger metaphyseal fragments with mini-plates, we transform a comminuted metaphyseal fracture into a simpler fracture pattern. This approach stabilizes the metaphyseal region, maintains radial length, and facilitates subsequent reduction of intra-articular fractures, thereby simplifying the surgical procedure. This method is a valuable addition to the surgical treatment options for managing such challenging fractures.CONCLUSIONBy initially securing larger metaphyseal fragments with mini-plates, we transform a comminuted metaphyseal fracture into a simpler fracture pattern. This approach stabilizes the metaphyseal region, maintains radial length, and facilitates subsequent reduction of intra-articular fractures, thereby simplifying the surgical procedure. This method is a valuable addition to the surgical treatment options for managing such challenging fractures. Abstract Backgrounds The treatment of complex distal radius fractures, particularly those involving both intra-articular disruption and significant metaphyseal comminution, remains a considerable surgical challenge. While volar locking plates have become a widely accepted standard for stabilizing these fractures, alone they may not address all fracture patterns. This study presents a surgical approach that incorporates the use of a mini-plate to provide targeted support for the metaphyseal region. We hypothesize that combining a mini-plate for metaphyseal stabilization with a volar locking plate for overall fracture fixation will enhance the structural stability and radiologic outcomes of metaphyseal comminuted distal radius fractures. Subjects and methods Eight cases of distal radius fractures involving comminution extending to the metaphysis treated surgically at Samsung Changwon Hospital during 2013–2023 were retrospectively analyzed. All patients had distal radius fractures with severe comminution at the metaphysis, where an added mini-plate was used to fix the fragments before applying the final volar locking plate. Using patient medical records, the mechanism of injury; presence of osteoporosis; type of fracture; radiologic parameters, final range of motion of the wrist; Mayo score and Disabilities of the Arm, Shoulder, and Hand (DASH) scores were investigated. Results The average age of the participants was 66 years. After a mean follow-up of 30.1 months, all patients achieved proper bone union. The median total range of motion of the wrist joint was 110.6° (40°–170°) at final follow-up. The radiographic parameters showed significant improvement postoperatively compared to preoperatively. The ulnar variance improved from a median of 5 mm to 0.5 mm (P = 0.013), the median teardrop angle increased from 33° to 59° (P = 0.012), and the median lateral palmar tilt improved from − 15.5° to 10.5° (P = 0.033). The median DASH score was 35.6 points, and the median Mayo score was 75.2 points. Conclusion By initially securing larger metaphyseal fragments with mini-plates, we transform a comminuted metaphyseal fracture into a simpler fracture pattern. This approach stabilizes the metaphyseal region, maintains radial length, and facilitates subsequent reduction of intra-articular fractures, thereby simplifying the surgical procedure. This method is a valuable addition to the surgical treatment options for managing such challenging fractures. The treatment of complex distal radius fractures, particularly those involving both intra-articular disruption and significant metaphyseal comminution, remains a considerable surgical challenge. While volar locking plates have become a widely accepted standard for stabilizing these fractures, alone they may not address all fracture patterns. This study presents a surgical approach that incorporates the use of a mini-plate to provide targeted support for the metaphyseal region. We hypothesize that combining a mini-plate for metaphyseal stabilization with a volar locking plate for overall fracture fixation will enhance the structural stability and radiologic outcomes of metaphyseal comminuted distal radius fractures. Eight cases of distal radius fractures involving comminution extending to the metaphysis treated surgically at Samsung Changwon Hospital during 2013-2023 were retrospectively analyzed. All patients had distal radius fractures with severe comminution at the metaphysis, where an added mini-plate was used to fix the fragments before applying the final volar locking plate. Using patient medical records, the mechanism of injury; presence of osteoporosis; type of fracture; radiologic parameters, final range of motion of the wrist; Mayo score and Disabilities of the Arm, Shoulder, and Hand (DASH) scores were investigated. The average age of the participants was 66 years. After a mean follow-up of 30.1 months, all patients achieved proper bone union. The median total range of motion of the wrist joint was 110.6° (40°-170°) at final follow-up. The radiographic parameters showed significant improvement postoperatively compared to preoperatively. The ulnar variance improved from a median of 5 mm to 0.5 mm (P = 0.013), the median teardrop angle increased from 33° to 59° (P = 0.012), and the median lateral palmar tilt improved from - 15.5° to 10.5° (P = 0.033). The median DASH score was 35.6 points, and the median Mayo score was 75.2 points. By initially securing larger metaphyseal fragments with mini-plates, we transform a comminuted metaphyseal fracture into a simpler fracture pattern. This approach stabilizes the metaphyseal region, maintains radial length, and facilitates subsequent reduction of intra-articular fractures, thereby simplifying the surgical procedure. This method is a valuable addition to the surgical treatment options for managing such challenging fractures. BackgroundsThe treatment of complex distal radius fractures, particularly those involving both intra-articular disruption and significant metaphyseal comminution, remains a considerable surgical challenge. While volar locking plates have become a widely accepted standard for stabilizing these fractures, alone they may not address all fracture patterns. This study presents a surgical approach that incorporates the use of a mini-plate to provide targeted support for the metaphyseal region. We hypothesize that combining a mini-plate for metaphyseal stabilization with a volar locking plate for overall fracture fixation will enhance the structural stability and radiologic outcomes of metaphyseal comminuted distal radius fractures.Subjects and methodsEight cases of distal radius fractures involving comminution extending to the metaphysis treated surgically at Samsung Changwon Hospital during 2013–2023 were retrospectively analyzed. All patients had distal radius fractures with severe comminution at the metaphysis, where an added mini-plate was used to fix the fragments before applying the final volar locking plate. Using patient medical records, the mechanism of injury; presence of osteoporosis; type of fracture; radiologic parameters, final range of motion of the wrist; Mayo score and Disabilities of the Arm, Shoulder, and Hand (DASH) scores were investigated.ResultsThe average age of the participants was 66 years. After a mean follow-up of 30.1 months, all patients achieved proper bone union. The median total range of motion of the wrist joint was 110.6° (40°–170°) at final follow-up. The radiographic parameters showed significant improvement postoperatively compared to preoperatively. The ulnar variance improved from a median of 5 mm to 0.5 mm (P = 0.013), the median teardrop angle increased from 33° to 59° (P = 0.012), and the median lateral palmar tilt improved from − 15.5° to 10.5° (P = 0.033). The median DASH score was 35.6 points, and the median Mayo score was 75.2 points.ConclusionBy initially securing larger metaphyseal fragments with mini-plates, we transform a comminuted metaphyseal fracture into a simpler fracture pattern. This approach stabilizes the metaphyseal region, maintains radial length, and facilitates subsequent reduction of intra-articular fractures, thereby simplifying the surgical procedure. This method is a valuable addition to the surgical treatment options for managing such challenging fractures. Backgrounds The treatment of complex distal radius fractures, particularly those involving both intra-articular disruption and significant metaphyseal comminution, remains a considerable surgical challenge. While volar locking plates have become a widely accepted standard for stabilizing these fractures, alone they may not address all fracture patterns. This study presents a surgical approach that incorporates the use of a mini-plate to provide targeted support for the metaphyseal region. We hypothesize that combining a mini-plate for metaphyseal stabilization with a volar locking plate for overall fracture fixation will enhance the structural stability and radiologic outcomes of metaphyseal comminuted distal radius fractures. Subjects and methods Eight cases of distal radius fractures involving comminution extending to the metaphysis treated surgically at Samsung Changwon Hospital during 2013–2023 were retrospectively analyzed. All patients had distal radius fractures with severe comminution at the metaphysis, where an added mini-plate was used to fix the fragments before applying the final volar locking plate. Using patient medical records, the mechanism of injury; presence of osteoporosis; type of fracture; radiologic parameters, final range of motion of the wrist; Mayo score and Disabilities of the Arm, Shoulder, and Hand (DASH) scores were investigated. Results The average age of the participants was 66 years. After a mean follow-up of 30.1 months, all patients achieved proper bone union. The median total range of motion of the wrist joint was 110.6° (40°–170°) at final follow-up. The radiographic parameters showed significant improvement postoperatively compared to preoperatively. The ulnar variance improved from a median of 5 mm to 0.5 mm ( P = 0.013), the median teardrop angle increased from 33° to 59° ( P = 0.012), and the median lateral palmar tilt improved from − 15.5° to 10.5° ( P = 0.033). The median DASH score was 35.6 points, and the median Mayo score was 75.2 points. Conclusion By initially securing larger metaphyseal fragments with mini-plates, we transform a comminuted metaphyseal fracture into a simpler fracture pattern. This approach stabilizes the metaphyseal region, maintains radial length, and facilitates subsequent reduction of intra-articular fractures, thereby simplifying the surgical procedure. This method is a valuable addition to the surgical treatment options for managing such challenging fractures. Backgrounds The treatment of complex distal radius fractures, particularly those involving both intra-articular disruption and significant metaphyseal comminution, remains a considerable surgical challenge. While volar locking plates have become a widely accepted standard for stabilizing these fractures, alone they may not address all fracture patterns. This study presents a surgical approach that incorporates the use of a mini-plate to provide targeted support for the metaphyseal region. We hypothesize that combining a mini-plate for metaphyseal stabilization with a volar locking plate for overall fracture fixation will enhance the structural stability and radiologic outcomes of metaphyseal comminuted distal radius fractures. Subjects and methods Eight cases of distal radius fractures involving comminution extending to the metaphysis treated surgically at Samsung Changwon Hospital during 2013-2023 were retrospectively analyzed. All patients had distal radius fractures with severe comminution at the metaphysis, where an added mini-plate was used to fix the fragments before applying the final volar locking plate. Using patient medical records, the mechanism of injury; presence of osteoporosis; type of fracture; radiologic parameters, final range of motion of the wrist; Mayo score and Disabilities of the Arm, Shoulder, and Hand (DASH) scores were investigated. Results The average age of the participants was 66 years. After a mean follow-up of 30.1 months, all patients achieved proper bone union. The median total range of motion of the wrist joint was 110.6° (40°-170°) at final follow-up. The radiographic parameters showed significant improvement postoperatively compared to preoperatively. The ulnar variance improved from a median of 5 mm to 0.5 mm (P = 0.013), the median teardrop angle increased from 33° to 59° (P = 0.012), and the median lateral palmar tilt improved from - 15.5° to 10.5° (P = 0.033). The median DASH score was 35.6 points, and the median Mayo score was 75.2 points. Conclusion By initially securing larger metaphyseal fragments with mini-plates, we transform a comminuted metaphyseal fracture into a simpler fracture pattern. This approach stabilizes the metaphyseal region, maintains radial length, and facilitates subsequent reduction of intra-articular fractures, thereby simplifying the surgical procedure. This method is a valuable addition to the surgical treatment options for managing such challenging fractures. Keywords: Comminuted, Metaphyseal, Distal radius, Fracture |
| ArticleNumber | 201 |
| Audience | Academic |
| Author | Shin, Sung Jin Jin, Jin Woo Lee, Chul Ho Lee, Sang Hyun Kim, Dong Hee |
| Author_xml | – sequence: 1 givenname: Dong Hee surname: Kim fullname: Kim, Dong Hee organization: Departments of Orthopedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine – sequence: 2 givenname: Jin Woo surname: Jin fullname: Jin, Jin Woo organization: Departments of Orthopedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine – sequence: 3 givenname: Sung Jin surname: Shin fullname: Shin, Sung Jin organization: Departments of Orthopedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine – sequence: 4 givenname: Chul Ho surname: Lee fullname: Lee, Chul Ho organization: Departments of Orthopedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine – sequence: 5 givenname: Sang Hyun surname: Lee fullname: Lee, Sang Hyun email: handsurgeon@pusan.ac.kr organization: Department of Orthopedic Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40016706$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.jhsa.2015.04.021 10.1007/s00402-009-1008-4 10.5312/wjo.v8.i7.567 10.1007/s00402-020-03365-y 10.1097/00003086-198701000-00020 10.1097/BOT.0000000000002204 10.1016/j.ocl.2023.05.012 10.1016/j.jhsa.2016.05.015 10.1007/s00590-021-03041-w 10.1097/01.bot.0000153446.34484.70 10.1016/j.jhsa.2006.07.004 10.1302/2058-5241.3.170063 10.1016/j.jhsa.2020.11.026 10.1186/1749-799X-5-55 10.1016/j.jhsa.2021.09.002 10.1177/15589447231210926 10.1055/s-0035-1570740 10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L 10.1016/s0363-5023(09)91099-1 10.3109/17453670903171875 10.52965/001c.28362 10.1097/BTH.0000000000000463 10.1097/00005131-200603000-00007 10.1016/j.hcl.2007.02.004 10.1097/BOT.0000000000002203 10.2106/JBJS.L.00232 10.1007/s00402-015-2290-y |
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| Keywords | Metaphyseal Distal radius Comminuted Fracture |
| Language | English |
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| References | LS Benson (8332_CR16) 2006; 31 RP Dunbar (8332_CR18) 2005; 19 AN Larson (8332_CR1) 2007; 23 M Saracco (8332_CR11) 2021; 13 JA Bell (8332_CR7) 2024; 55 8332_CR12 8332_CR10 AB Fares (8332_CR26) 2021; 46 RK Alluri (8332_CR6) 2016; 41 8332_CR8 J Hreha (8332_CR19) 2022; 32 A Karantana (8332_CR2) 2013; 95 A Abramo (8332_CR3) 2009; 80 M Spiteri (8332_CR15) 2017; 8 8332_CR22 8332_CR23 H Sosborg-Wurtz (8332_CR24) 2018; 3 8332_CR21 RA Bartosh (8332_CR25) 1990; 15 MT Archdeacon (8332_CR17) 2006; 20 RN Kamal (8332_CR4) 2024; 28 M Leixnering (8332_CR20) 2020; 140 MA O'Shaughnessy (8332_CR5) 2015; 40 NA Hoekzema (8332_CR13) 2021; 35 AR Kachooei (8332_CR14) 2016; 5 JI Lee (8332_CR9) 2015; 135 AS Golden (8332_CR27) 2021; 35 |
| References_xml | – volume: 40 start-page: 1563 issue: 8 year: 2015 ident: 8332_CR5 publication-title: J Hand Surg Am doi: 10.1016/j.jhsa.2015.04.021 – ident: 8332_CR23 doi: 10.1007/s00402-009-1008-4 – volume: 8 start-page: 567 issue: 7 year: 2017 ident: 8332_CR15 publication-title: World J Orthop doi: 10.5312/wjo.v8.i7.567 – volume: 140 start-page: 611 issue: 5 year: 2020 ident: 8332_CR20 publication-title: Arch Orthop Trauma Surg doi: 10.1007/s00402-020-03365-y – ident: 8332_CR22 doi: 10.1097/00003086-198701000-00020 – volume: 35 start-page: s6 issue: Suppl 3 year: 2021 ident: 8332_CR27 publication-title: J Orthop Trauma doi: 10.1097/BOT.0000000000002204 – volume: 55 start-page: 113 issue: 1 year: 2024 ident: 8332_CR7 publication-title: Orthop Clin North Am doi: 10.1016/j.ocl.2023.05.012 – volume: 41 start-page: 845 issue: 8 year: 2016 ident: 8332_CR6 publication-title: J Hand Surg Am doi: 10.1016/j.jhsa.2016.05.015 – volume: 32 start-page: 1215 issue: 6 year: 2022 ident: 8332_CR19 publication-title: Eur J Orthop Surg Traumatol doi: 10.1007/s00590-021-03041-w – volume: 19 start-page: 412 issue: 6 year: 2005 ident: 8332_CR18 publication-title: J Orthop Trauma doi: 10.1097/01.bot.0000153446.34484.70 – volume: 31 start-page: 1333 issue: 8 year: 2006 ident: 8332_CR16 publication-title: J Hand Surg Am doi: 10.1016/j.jhsa.2006.07.004 – volume: 3 start-page: 114 issue: 4 year: 2018 ident: 8332_CR24 publication-title: EFORT Open Rev doi: 10.1302/2058-5241.3.170063 – volume: 46 start-page: 627 e1- issue: 7 year: 2021 ident: 8332_CR26 publication-title: J Hand Surg Am. doi: 10.1016/j.jhsa.2020.11.026 – ident: 8332_CR12 doi: 10.1186/1749-799X-5-55 – ident: 8332_CR10 doi: 10.1016/j.jhsa.2021.09.002 – ident: 8332_CR8 doi: 10.1177/15589447231210926 – volume: 5 start-page: 2 issue: 1 year: 2016 ident: 8332_CR14 publication-title: J Wrist Surg doi: 10.1055/s-0035-1570740 – ident: 8332_CR21 doi: 10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L – volume: 15 start-page: 18 issue: 1 year: 1990 ident: 8332_CR25 publication-title: J Hand Surg Am doi: 10.1016/s0363-5023(09)91099-1 – volume: 80 start-page: 478 issue: 4 year: 2009 ident: 8332_CR3 publication-title: Acta Orthop doi: 10.3109/17453670903171875 – volume: 13 start-page: 28362 issue: 2 year: 2021 ident: 8332_CR11 publication-title: Orthop Rev (Pavia) doi: 10.52965/001c.28362 – volume: 28 start-page: 115 issue: 2 year: 2024 ident: 8332_CR4 publication-title: Tech Hand Up Extrem Surg doi: 10.1097/BTH.0000000000000463 – volume: 20 start-page: 206 issue: 3 year: 2006 ident: 8332_CR17 publication-title: J Orthop Trauma doi: 10.1097/00005131-200603000-00007 – volume: 23 start-page: 269 issue: 2 year: 2007 ident: 8332_CR1 publication-title: Hand Clin. doi: 10.1016/j.hcl.2007.02.004 – volume: 35 start-page: s17 issue: Suppl 3 year: 2021 ident: 8332_CR13 publication-title: J Orthop Trauma doi: 10.1097/BOT.0000000000002203 – volume: 95 start-page: 1737 issue: 19 year: 2013 ident: 8332_CR2 publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.L.00232 – volume: 135 start-page: 1315 issue: 9 year: 2015 ident: 8332_CR9 publication-title: Arch Orthop Trauma Surg doi: 10.1007/s00402-015-2290-y |
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The treatment of complex distal radius fractures, particularly those involving both intra-articular disruption and significant metaphyseal... The treatment of complex distal radius fractures, particularly those involving both intra-articular disruption and significant metaphyseal comminution, remains... Backgrounds The treatment of complex distal radius fractures, particularly those involving both intra-articular disruption and significant metaphyseal... BackgroundsThe treatment of complex distal radius fractures, particularly those involving both intra-articular disruption and significant metaphyseal... Abstract Backgrounds The treatment of complex distal radius fractures, particularly those involving both intra-articular disruption and significant metaphyseal... |
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| SubjectTerms | Aged Aged, 80 and over Arm Bone Plates Care and treatment Clinical outcomes Comminuted Distal radius Epidemiology Female Fracture Fracture fixation Fracture Fixation, Internal - instrumentation Fracture Fixation, Internal - methods Fractures Fractures, Comminuted - diagnostic imaging Fractures, Comminuted - surgery Humans Injuries Internal fixation in fractures Internal Medicine Male Medical colleges Medical records Medicine Medicine & Public Health Metaphyseal Metaphysis Methods Middle Aged Older people Orthopedics Osteoporosis Patients Radiology Radius Radius Fractures - diagnostic imaging Radius Fractures - surgery Range of motion Range of Motion, Articular Rehabilitation Retrospective Studies Rheumatology Sports Medicine Surgery Treatment Outcome Wire Wrist Wrist Fractures |
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| Title | Supplemental metaphyseal fixation of severe comminuted distal radius fracture with a mini plate |
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