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Treatment of distal radius fractures with locking plates: an update

  • Francois Loisel
  • Hugo Kielwasser
  • Grégoire Faivre
  • Thomas Rondot
  • Séverin Rochet
  • Antoine Adam
  • Pauline Sergent
  • Grégoire Leclerc
  • Laurent Obert
  • Daniel Lepage
Original Article • WRIST - FRACTURES

Abstract

Internal fixation with volar locking plates has revolutionized the treatment of distal radius fractures. Manufacturers have introduced plate designs that closely follow the anatomy of the distal radius. However, use of volar plates has also led to the emergence of new types of complications. While the use of monoaxial or polyaxial locking screws and of minimally invasive techniques (arthroscopy, preservation of pronator quadratus) increases the cost of the surgical procedure, it results in a tangible benefit for patients, allowing them to move their wrist almost immediately after surgery and to quickly regain their autonomy. We reviewed the literature to analyze the level of proof.

Keywords

Dorsal plate Volar plate Secondary displacement 

Notes

Compliance with ethical standards

Conflict of interest

One of the co-authors has no conflicts of interest directly related to this article, but has conflicts of interest with the following companies: FX solutions, Zimmer Biomet, Medartis, Evolutis, Wright, Lilly, Elsevier, Springer

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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  • Francois Loisel
    • 1
    • 2
  • Hugo Kielwasser
    • 1
    • 2
    • 3
  • Grégoire Faivre
    • 1
    • 2
  • Thomas Rondot
    • 1
    • 2
  • Séverin Rochet
    • 1
    • 2
  • Antoine Adam
    • 1
    • 2
  • Pauline Sergent
    • 1
    • 2
  • Grégoire Leclerc
    • 1
    • 2
  • Laurent Obert
    • 1
    • 2
  • Daniel Lepage
    • 1
    • 2
  1. 1.Department of Orthopedic, Trauma, Plastic and Reconstructive Surgery and Hand ClinicUniversity Hospital Besançon - Medical School CIC ITBesançonFrance
  2. 2.Research Unit: Nano MédecineUniversity of Bourgogne - Franche ComtéBesançonFrance
  3. 3.BesançonFrance

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