Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (39): 7327-7330.doi: 10.3969/j.issn.1673-8225.2011.39.027

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Variable-angle locking screw volar plating DVRTM in treating unstable distal radius fractures

Meng De-peng, Liu Yan, Gou San-huai, Guo Yong-fei, Chen Ai-min, Zhang Wei   

  1. Department of Orthopedics Surgery, Changzheng Hospital, Second Military Medical University, Shanghai  200003, China
  • Received:2011-06-15 Revised:2011-08-07 Online:2011-09-24 Published:2011-09-24
  • Contact: Liu Yan, Master, Associate chief physician, Associate professor, Department of Orthopedics Surgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China liuyan318@yahoo.com
  • About author:Meng De-peng★, Master, Physician, Department of Orthopedics Surgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China depengmeng@163.com

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Abstract:

BACKGROUND: Final fixation of locking nail depends on location of the plate that requires to be repeatedly confirmed before screw implantation to avoid implanting locking screw to the joint. It will lead to complicated operation and increase the risk for screw implantation into the joint.
OBJECTIVE: To investigate a novel method in the treatment of unstable distal radius fractures.
METHODS: Among 21 cases of unstable distal radius fractures, there were 3 cases of A3, 3 of B2, 2 of B3, 3 of C1, 5 of C2, 5 of C3 according to AO typing. After 0-12 days of injury, the patients received variable-angle locking screw volar plating DVRTM.
RESULTS AND CONCLUSION: At 24 weeks of the follow-up, all patients had bone healing, no soft tissue complications, no screw displacement and plate fracture, and satisfactory imaging and functional assessment. Thus obtained, this approach for unstable distal radius fracture can provide anatomical fixation, exact fixation, low complication incidence. In addition, it is more flexible and resilient in the matching between the screw and plate.

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