Abstract
We present the case of a 26-year-old male laborer, who sustained a high-energy, intra-articular distal radius and ulna styloid fracture. He developed subsidence and loss of fixation after index open reduction and internal fixation with a volar locking plate construct and was referred for revision surgery. Given a history of new onset seizure disorder and disuse osteopenia 6 weeks after the original injury, we performed revision ORIF via a volar approach utilizing fragment-specific fixation and augmentation of the construct with a dorsal bridge plate (DBP).
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Wang WL, Ilyas AM. Dorsal bridge plating versus external fixation for distal radius fractures. J Wrist Surg. 2020;9(2):177–84. https://doi.org/10.1055/s-0039-1694063. Epub 2019 Aug 8. PMID: 32257622; PMCID: PMC7113002.
Chhabra A, Hale JE, Milbrandt TA, Carmines DV, Degnan GG. Biomechanical efficacy of an internal fixator for treatment of distal radius fractures. Clin Orthop Relat Res. 2001;393:318–25. https://doi.org/10.1097/00003086-200112000-00037. PMID: 11764365.
Mithani SK, Srinivasan RC, Kamal R, Richard MJ, Leversedge FJ, Ruch DS. Salvage of distal radius nonunion with a dorsal spanning distraction plate. J Hand Surg Am. 2014;39(5):981–4. https://doi.org/10.1016/j.jhsa.2014.02.006. Epub 2014 Mar 27. PMID: 24679491.
Perlus R, Doyon J, Henry P. The use of dorsal distraction plating for severely comminuted distal radius fractures: a review and comparison to volar plate fixation. Injury. 2019;50 Suppl 1:S50–5. https://doi.org/10.1016/j.injury.2019.03.052. Epub 2019 Apr 6.
Burke EF, Singer RM. Treatment of comminuted distal radius with the use of an internal distraction plate. Tech Hand Up Extrem Surg. 1998;2(4):248–52. https://doi.org/10.1097/00130911-199812000-00004. PMID: 16609462.
Vakhshori V, Alluri RK, Stevanovic M, Ghiassi A. Review of internal radiocarpal distraction plating for distal radius fracture fixation. Hand (N Y). 2020;15(1):116–24. https://doi.org/10.1177/1558944718787877. Epub 2018 Jul 13. PMID: 30003802; PMCID: PMC6966280.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Shafiq, B., Hasenboehler, E.A. (2021). Distal Radius Fracture: Combination of Volar Plating/Dorsal Bridge Plate. In: Tejwani, N.C. (eds) Fractures of the Wrist. Springer, Cham. https://doi.org/10.1007/978-3-030-74293-5_9
Download citation
DOI: https://doi.org/10.1007/978-3-030-74293-5_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-74292-8
Online ISBN: 978-3-030-74293-5
eBook Packages: MedicineMedicine (R0)