Complications associated with volar locking plate fixation for distal radius fractures in 1955 cases: A multicentre retr
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ORIGINAL PAPER
Complications associated with volar locking plate fixation for distal radius fractures in 1955 cases: A multicentre retrospective study Jae Hoon Lee 1 & Jun-Ku Lee 2 & Jin Sung Park 3 & Dong Hee Kim 4 & Jong Hun Baek 5 & Young Jun Kim 5 & Kyung Tack Yoon 1 & Seung Hyun Song 1 & Hyun Gon Gwak 1 & Cheungsoo Ha 6 & Soo-Hong Han 6 Received: 7 April 2020 / Accepted: 17 June 2020 # SICOT aisbl 2020
Abstract Purpose Since volar locking plates (VLPs) have the benefits of more stable fixation and fewer complications, VLP osteosynthesis is now the preferred osteosynthesis method in the operative management of distal radius fractures (DRF). Along with the increases in operative management of VLP, the character and frequency of complications have changed. Thus, this multicentre study aimed to identify the characteristics of patients with DRFs who were treated with VLP fixation, describe the complication types and rates related to the procedure, and compare the results with those found in the literature. Material and methods This retrospective multicentre study was conducted between January 2008 and December 2017. In total, data from 2225 patients over 17 years old who underwent VLP fixation for DRF were screened. Patients with closed reduction and pinning, external fixation, dorsal plate fixation, and screw-only fixation were excluded. Finally, 1955 wrists from 1921 patients (86.3%) were included. The following types of complications were investigated: (1) tendon injury, (2) nerve-related, (3) fixation- and instrument-related, (4) osteosynthesis-related, (5) infection, and (6) others. Results The mean age of the patients was 60.3 ± 14.6 years with 587 males (30.6%). Distal ulnar fractures were found in 940 wrists (48.1%). The mean interval between fracture and surgery was 6.2 days, while the mean operative time was Jae Hoon Lee and Jun-Ku Lee equally contributed to this work, and should be considered as co-first author. * Soo-Hong Han [email protected]
Hyun Gon Gwak [email protected]
Jae Hoon Lee [email protected] Jun-Ku Lee [email protected] Jin Sung Park [email protected] Dong Hee Kim [email protected]
Cheungsoo Ha [email protected] 1
Department of Orthopedic Surgery, Kyung Hee University Hospital at Gangdong, School of Medicine, Kyung Hee University, Seoul, South Korea
2
Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, South Korea
3
Department of Orthopaedic, Surgery and Institute of Health Science, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju 52727, Republic of Korea
4
Departments of Orthopedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea
5
Department of Orthopedic Surgery, College of Medicine, Kyung Hee University, Seoul, South Korea
6
Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, 351 Yatap-dong, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea
Jong Hun Baek paeton81@na
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