Fragment-specific volar hook plate for volar marginal rim fractures

Adam J. Bakker, Alexander Y. Shin

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

The volar lunate facet/volar marginal rim fragment of distal radius fractures is a challenging problem for current volar plating systems to adequately maintain internal fixation. Fragment-specific wireforms and other constructs can be used to capture these difficult fragments but are difficult to place and have limited resistance to bending and axial load. Fixed-angle volar plates have limited distal translation without increasing the risk of flexor tendon rupture. Failure to reduce and maintain reduction of these volar ulnar intra-articular distal marginal rim fractures result in disastrous volar carpal subluxation. We present an alternative surgical technique using a low-profile volar hook plate designed specifically to address this fragment. The first 6 cases are presented here with no observed surgical complications to date.

Original languageEnglish (US)
Pages (from-to)56-60
Number of pages5
JournalTechniques in Hand and Upper Extremity Surgery
Volume18
Issue number1
DOIs
StatePublished - Mar 1 2014

Keywords

  • Distal radius fractures
  • Volar hook plate
  • Volar marginal rim fractures

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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