Dorsal bridge plating for distal radius factures

N/A

N/A

N/A

N/A

Multiple plates have been used for the bridge technique and include both
titanium and stainless steel and most commonly range in size from 2.4 mm to 3.5
mm. This video demonstrates the use of the Wrist Spanning Plate from Acumed.
The patient is positioned supine and a hand-table is used.

Standard trauma work-up and medical clearance is mandatory. Radiographs of
the wrist and forearm are used to define injury pattern and assess for more
proximal pathology.

N/A

This technique provides decreased complication rates compared to
external fixation. Risk of digital stiffness can be minimized by assuring there is
not excessive distraction and full passive digital flexion and extension can be
achieved after plate placement. Tenolysis may be peformed at time of plate
removal.

Dr. Richard is a consultant for Acumed.

1)
Hanel, D. P., Ruhlman, S. D., Katolik, L. I., & Allan, C. H. (2010).
Complications associated with distraction plate fixation of wrist fractures.
Hand Clinics
,
26
(2), 237
�¢ï¿½ï¿½
243. http://doi.org/10.1016/j.hcl.2010.01.001
2)
McQueen, M. M., Michie, M., & Court-Brown, C. M. (1992). Hand and wrist
function after external fixation of unstable distal radial fractures.
Clinical
Orthopaedics and Related Research
, (285), 200
�¢ï¿½ï¿½
204.
3)
Papadonikolakis, A., & Ruch, D. S. (2005). Internal distraction plating of dista
l

radius fractures.
Techniques in Hand & Upper Extremity Surgery
,
9
(1), 2
�¢ï¿½ï¿½
6.
4)
Richard, M. J., Katolik, L. I., Hanel, D. P., Wartinbee, D. A., & Ruch, D. S.
(2012). Distraction plating for the treatment of highly comminuted distal radius
fractures in elderly patients.
The Journal of Hand Surgery
,
37
(5), 948
�¢ï¿½ï¿½
956.
http://doi.org/10.1016/j.jhsa.2012.02.034
5)
Ruch, D. S., Ginn, T. A., Yang, C. C., Smith, B. P., Rushing, J., & Hanel, D. P.
(2005). Use of a distraction plate for distal radial fractures with metaphyseal
and diaphyseal comminution.
The Journal of Bone and Joint Surgery.
American Volume
,
87
(5), 945
�¢ï¿½ï¿½
954. http://doi.org/10.2106/JBJS.D.02164
6)
Szabo, R. M., & Weber, S. C. (1988). Comminuted intraarticular fractures of
the distal radius.
Clinical Orthopaedics and Related Research
, (230), 39
�¢ï¿½ï¿½
48.
Chhabra, A., Hale, J. E., Milbrandt, T. A., Carmines, D. V., Degnan, G. G. (2001) Biomechanical efficacy of an internal fixator for treatment of distal radius fractures. Clinical Orthopaedics and Related Research, (393), 318-215.