Journal of Musculoskeletal Trauma

Original Articles

Clinical Assessment after the Volar Locking Plate Removal of Distal Radius Fracture: Hee Chul Gwak, Joo Yong Kim, Gyu Min Kong, Jung Won Kim, Jae Yong Kwak, Dong Gyun Kim; J Korean Fract Soc 2014;27(1):23-28. Published online January 31, 2014; DOI: https://doi.org/10.12671/jkfs.2014.27.1.23

Abstract PDF: PURPOSE
The purpose of this study is to evaluate the clinical outcomes after removing the volar locking plate for distal radius fracture.
MATERIALS AND METHODS
We reviewed retrospectively the medical records of 34 patients, 36 cases after removing the plates among 150 patients, with 162 cases that underwent open reduction and internal fixation using the volar locking plate between January 2006 and May 2011. We performed preoperative and postoperative clinical assessments using the quick-disabilities of the arm, shoulder and hand (Q-DASH), the visual analog scale (VAS) score, and the range of motion on wrist, grip and pinch power.
RESULTS
The major reason for plate removal was the time to remove the plate according to the fracture union and the patient's demand without other specific complaints (28 cases). The mean preoperative VAS score was 1.78 and the mean postoperative VAS score 1.81 (p=0.64). The mean preoperative Q-DASH score was 30.02 and the mean postoperative Q-DASH score 38.46 (p<0.001). The mean preoperative grip and pinch power were 18.14 kg and 7.67 kg. The mean postoperative grip and pinch power were 15.27 kg and 6.94 kg (p=0.23).
CONCLUSION
The removal of the volar locking plate for distal radius fracture should be decided by considering the patient's clinical and socioeconomic conditions carefully.

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Refracture of the Femur after Plate Removal: Sung Kwan Hwang, Jung Ho Rah, Hee Jeon Park, Yeo Seung Yoon, Jae Beom Han; J Korean Soc Fract 1995;8(4):799-806. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.799

Internal fixation with dynamic compression plate is an accepted method of treating diaphyseal fractures of the adult femur. Good results have been reported using the principles laid down by the AO group(Muller et al 1979). Refracture after secure union of a broken femur has been achieved is rare, but it is most devastating complication. There were 5 refractures out of 64 removals after fractures of the femur at the department of Orthopaedic Surgery, Yonsei University Wonju college of Medicine between January, 1988 and June, 1994. After clinical and roentgenographical analysis, following results were obtained. 1. The causes of the refracture were trivial injuries or slip down injury. 2. Among 5 cases, the average time from insertion to removal was 19.2 months, with a ranged from 16 to 28 months. 3. The internal from removal of implant to refracture was 5.6 wks, with a range from 3 to 9 weeks. 4. The incidence of refracture in out hospital(7.8%) was somewhat higher than reported incidence by others. 5. The femur plates should not be removed prior to 2 years postoperatively and its removal should be postponed, if possible. 6. It is reasonable to postpone its removal until bone strength is adequate for full activity.

Citations

Citations to this article as recorded by

Refractures of the Upper Extremity in Children
Hui Wan Park, Ick Hwan Yang, Sun Young Joo, Kun Bo Park, Hyun Woo Kim
Yonsei Medical Journal.2007; 48(2): 255. CrossRef

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