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Treatment of distal radius fractures with locking plates: an update

  • Original Article • WRIST - FRACTURES
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

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.

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Authors and Affiliations

  1. Department of Orthopedic, Trauma, Plastic and Reconstructive Surgery and Hand Clinic, University Hospital Besançon - Medical School CIC IT, 808 - Bd Fleming, 25033, Besançon, France

    Francois Loisel, Hugo Kielwasser, Grégoire Faivre, Thomas Rondot, Séverin Rochet, Antoine Adam, Pauline Sergent, Grégoire Leclerc, Laurent Obert & Daniel Lepage

  2. Research Unit: Nano Médecine, University of Bourgogne - Franche Comté, Besançon, France

    Francois Loisel, Hugo Kielwasser, Grégoire Faivre, Thomas Rondot, Séverin Rochet, Antoine Adam, Pauline Sergent, Grégoire Leclerc, Laurent Obert & Daniel Lepage

  3. Besançon, France

    Hugo Kielwasser

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  1. Francois Loisel
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  2. Hugo Kielwasser
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  3. Grégoire Faivre
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  4. Thomas Rondot
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  5. Séverin Rochet
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  7. Pauline Sergent
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  8. Grégoire Leclerc
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  9. Laurent Obert
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  10. Daniel Lepage
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Correspondence to Hugo Kielwasser.

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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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Loisel, F., Kielwasser, H., Faivre, G. et al. Treatment of distal radius fractures with locking plates: an update. Eur J Orthop Surg Traumatol 28, 1537–1542 (2018). https://doi.org/10.1007/s00590-018-2274-z

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  • DOI: https://doi.org/10.1007/s00590-018-2274-z

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