DOI: 10.25881/20728255_2022_17_4_2_106

Authors

Maximov B.I.

Moscow City Hospital №29 named after N.E. Bauman, Moscow

Abstract

The relevance of the choice of optimal surgical treatment of patients with distal radius fractures is associated with significant frequency and prevalence of such an injury, the lack of unified tactical system of treatment and the great number of unsatisfactory results of osteosynthesis. Having passed a long path of evolution, osteosynthesis of distal radius even now causes an increased interest aimed primarily at the ways to improve the effectiveness and safety of treatment of patients with distal radius fractures. Toward this end, an analysis of domestic and foreign literatures that deals surgical treatment of patients with distal radius fractures and its evolution was undertaken, range of possible options of osteosynthesis has been identified, as well as application prospects for a particular method were assessed.

Keywords: distal radius, K-wire osteosynthesis, dorsal plate, volar locking plate, pronator-sparing approach, minimally invasive volar approach.

References

1. Vaghela KR, Velazquez-Pimentel D, Ahluwalia AK, Choraria A, Hunter A. Distal radius fractures: an evidence-based approach to assessment and management. Br J Hosp Med (Lond). 2020; 81(6): 1-8. doi: 10.12968/ hmed.2020.0006.

2. Gou Q, Xiong X, Cao D, He Y, Li X. Volar locking plate versus external fixation for unstable distal radius fractures: a systematic review and meta-analysis based on randomized controlled trials. BMC MusculoskeletDisord. 2021; 22(1): 433. doi: 10.1186/s12891-021-04312-7.

3. Polikarpov AE, Kashansky YB, Kondratev IP, Tsapenko VO. Results of surgical treatment of unstable fractures of the distal forearm in the metaepiphyseal zone. Department of Traumatology and Orthopedics. 2021; 4(46): 13-16. (In Russ.) doi:10.17238/2226-2016-2021-4-13-16.

4. Kaya O, Gulabi D, Buyukdogan H, Baris AC, Kilic B, Caliskan M. Clinical results of distal radius intraarticular comminuted fractures in the elderly: a retrospective comparative analysis of different fixation methods. Cureus. 2022; 14(8): e28077. doi: 10.7759/cureus.28077.

5. Maksimov BI, Pandunc AA, Vedernikov NN. Opportunities of preservation of the forearm pronator with the surgical treatment of fractures of the distal radius bone. Bulletin of the National Medical and Surgical Center named after N.I. Pirogov. 2018; 13(4): 49-52. (In Russ.) doi: 10.25881/BPNMSC.2018.22.37.008.

6. Benjamin MM, Swigler CW. Evidence-Based Review of Distal Radius Fractures. Orthop Clin North Am. 2018; 49(2): 211-222. doi: 10.1016/j.ocl. 2017.12.001.

7. Rupp M, Cambon-Binder A, Alt V, Feron JM. Is percutaneous pinning an outdated technique for distal radius fractures? Injury. 2019; 50: 30-35. doi: 10.1016/j.injury.2019.03.048.

8. Khominets VV, Tkachenko MV, Syrtsov VV, Ivanov VS. Comparative analysis of treatment technique in patients with distal radius fractures. Traumatology and Orthopedics of Russia. 2015; (2): 5-15. (In Russ.) doi: 10.21823/2311-2905-2015-0-2-5-15.

9. Khominets VV, Tkachenko MV, Ivanov VS, Zhogina MA, Lisin SV, Myshkin IA. Current tendencies in diagnostics and surgical treatment of distal radius fractures (review). Preventive and clinical medicine. 2020; 2: 33-44. (In Russ.)

10. Egiazaryan K.A., Maximov B.I., Askerov A.A., Vedernikov N.N., Matvienko M.I. K-wire osteosynthesis of distal radius fractures. Department of Traumatology and Orthopedics. 2021; 3(45): 61-70. (In Russ.) doi: 10.17238/issn2226-2016.2021.3.62-71.

11. Epinette JA, Lehut JM, Cavenaile M, Bouretz JC, Decoulx J. Pouteau-Colles fracture: double-closed “basket-like” pinning according to Kapandji. Apropos of a homogeneous series of 70 cases. Ann Chir Main. 1982; 1(1): 71-83. doi: 10.1016/s0753-9053(82)80047-1.

12. Hoel G, Kapandji A. Osteosynthesis using intra-focal pins of anteriorly dislocated fractures of the inferior radial epiphysis. Ann Chir Main Memb Super. 1995; 14(3): 142-56. doi: 10.1016/s0753-9053(05)80312-6.

13. Fritz T, Wersching D, Klavora R, Krieglstein C, Friedl W. Combined Kirschner wire fixation in the treatment of Colles fracture. A prospective, controlled trial. Arch Orthop Trauma Surg. 1999; 119(3-4): 171-8. doi: 10.1007/ s004020050384.

14. Handoll HH, Vaghela MV, Madhok R. Percutaneous pinning for treating distal radial fractures in adults. Cochrane Database Syst Rev. 2007; 3: CD006080. doi: 10.1002/14651858.CD006080.pub2.

15. Mohamed MA, Abdel-Wanis ME, Said E, Abdel-Aziz IA, Ahmed AM, Addosooki A. Dorsal bridge plating versus bridging external fixation for management of complex distal radius fractures. Injury. 2022 Oct; 53(10): 3344-3351. doi: 10.1016/j.injury.2022.08.010.

16. Boretto JG, Altube G, Petrucelli E, Zaidenberg EE, Gallucci GL, De Carli P. Dorsal Plating for Specific Fracture Pattern of the Distal Radius. J Hand Surg Asian Pac Vol. 2021; 26(4): 502-512. doi: 10.1142/S2424835521500466.

17. Osada D, Tamai K, Iwamoto A, Fujita S, Saotome K. Dorsal plating for comminuted intra-articular fractures of the distal end of the radius. Hand Surg. 2004; 9(2): 181-90. doi: 10.1142/s0218810404002194.

18. Lee JH, Ahn JT, Baek JH. Dorsal plating versus volar plating with limited dorsal open reduction in the management of AO type C3 distal radius fractures with impacted articular fragments: A retrospective comparative study. Acta OrthopTraumatol Turc. 2022; 56(1): 42-47. doi: 10.5152/j.aott. 2022.21157.

19. Matzon JL, Kenniston J, Beredjiklian PK. Hardware-related complications after dorsal plating for displaced distal radius fractures. Orthopedics. 2014; 37(11): e978-82. doi: 10.3928/01477447-20141023-54.

20. Rozental TD, Beredjiklian PK, Bozentka DJ. Functional outcome and complications following two types of dorsal plating for unstable fractures of the distal part of the radius. J Bone Joint Surg Am. 2003; 85(10): 1956-60. doi:10.2106/00004623-200310000-00014.

21. Ghafoor H, Haefeli M, Steiger R, Honigmann P. Dorsal Plate Osteosynthesis in Simple and Complex Fractures of the Distal Radius: A Radiological Analysis of 166 Cases. J Wrist Surg. 2021; 11(2): 134-144. doi: 10.1055/ s-0041-1735839.

22. Devaux N, Henning J, Haefeli M, Honigmann P. The Retinaculum Flap for Dorsal Fixation of Distal Radius Fractures. J Hand Surg Am. 2018; 43(4): 391.e1-391.e7. doi: 10.1016/j.jhsa.2018.01.011.

23. 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(1): S50-S55. doi: 10.1016/j.injury. 2019.03.052.

24. Sharareh B, Mitchell S. Radiographic Outcomes of Dorsal Spanning Plate for Treatment of Comminuted Distal Radius Fractures in Non-Elderly Patients. J Hand Surg Glob Online. 2019; 2(2): 94-101. doi: 10.1016/j.jhsg. 2019.10.001.

25. Labrum JT 4th, Ilyas AM. Bridge plate fixation of distal radius fractures: indications, techniques and outcomes. Orthopedics. 2021; 44(4): e620-e625. doi:10.3928/01477447-20210618-26.

26. Saving J, Enocson A, Ponzer S, Mellstrand Navarro C. External fixation versus volar locking plate for unstable dorsally displaced distal radius fractures-a 3-year follow-up of a randomized controlled study. J Hand Surg Am. 2019; 44(1): 18-26. doi: 10.1016/j.jhsa.2018.09.015.

27. Maksimov BI. Extramedullary osteosynthesis of fractures of distal meteepyphisis of radius bone with the use of volar surgical access. Bulletin of the National Medical and Surgical Center named after N.I. Pirogov. 2018; 13(2): 78-83. (In Russ.) doi: 10.25881/BPNMSC.2018.22.37.008.

28. Lu CK, Liu WC, Chang CC, Shih CL, Fu YC, Jupiter JB. A systematic review and meta-analysis of the pronator quadratus repair following volar plating of distal radius fractures. J Orthop Surg Res. 2020; 15(1): 419. doi:10.1186/ s13018-020-01942-w.

29. Maximov BI. Minimally invasive plate osteosynthesis for distal radius fractures: are there any advantages against conventional technique? Traumatology and Orthopedics of Russia. 2020; (1): 76-84. (In Russ). doi: 10.21823/2311-2905-2020-26-1-76-84.

30. Youlden DJ, Sundaraj K, Smithers C. Volar locking plating versus percutaneous Kirschner wires for distal radius fractures in an adult population: a meta-analysis. ANZ J Surg. 2019; 89(7-8): 821-826. doi: 10.1111/ans. 14903.

31. Lee DS, Weikert DR. Complications of distal radius fixation. Orthop Clin North Am. 2016; (47): 415-424. doi: 10.1016/j.ocl.2015.09.014.

32. Sen MK, Strauss N, Harvey EJ. Minimally invasive plate osteosynthesis of distal radius fractures using a pronator sparing approach. Tech Hand Up Extrem Surg. 2008; (12): 2-6. doi: 10.1097/BTH.0b013e3180cac281.

33. Lee DY, Park YJ, Park JS. A meta-analysis of studies of volar locking plate fixation of distal radius fractures: conventional versus minimally invasive plate osteosynthesis. Clin Orthop Surg. 2019; 11(2): 208-219. doi: 10.4055/cios.2019.11.2.208.

34. Imatani J, Noda T, Morito Y, Sato T, Hashizume H, Inoue H. Minimally invasive plate osteosynthesis for comminuted fractures of the metaphysis of the radius. J Hand Surg Br. 2005; 30(2): 220-225. doi: 10.1016/j.jhsb. 2004.12.009.

35. Hohendorff B, Unglaub F, Spies CK, Müller LP, Ries C. Refixierung des musculus pronator quadratus mit einem Teil des M.-brachioradialis-Ansatzes bei der palmaren Plattenosteosynthese einer distalen Radiusfraktur. Oper Orthop und Traumatol. 2020; 32(1): 82-86. doi: 10.1007/s00064-019-0601-0.

36. Mulders M, Walenkamp M, Bos F, Schep N, Goslings C. Repair of the pronator quadratus after volar plate fixation in distal radius fractures: a systematic review. Strategies Trauma Limb Reconstr. 2017; 12(3): 181-188. doi: 10.1007/s11751-017-0288-4.

37. Armangil M, Bezirgan U, Basarır K, Bilen G, Demirtas M, Bilgin SS. The pronator quadratus muscle after plating of distal radius fractures: is the muscle still working? Eur J Orthop Surg Traumatol. 2014; 24(3): 335-339. doi: 10.1007/s00590-013-1193-2.

38. Moens K, Vansintjan P, De Loore G, De Vos J. Pronator sparing plate osteosynthesis in distal radius fractures: early functional outcome. Acta Orthop Belg. 2018; 84(4): 531-538.

39. Lo HY, Cheng HY. Clinical study of the Pronator Quadratus muscle: anatomical features and feasibility of Pronator-Sparing Surgery. BMC Musculoskelet Disord. 2014; 5: 136. doi:10.1186/1471-2474-15-136.

40. Takada N, Otsuka T. Anatomical features of the pronator quadrates muscle related to minimally invasive plate osteosynthesis of distal radial fractures with a volar locking plate: a cadaver study. Eur Orthop Traumatol 2011, 2:133-136.

41. Goorens CK, Debaenst N, Van Royen K, Provyn S, Goubau JF. Minimally Invasive Pronator Quadratus Sparing Approach versus Extended Flexor Carpi Radialis Approach with Pronator Quadratus Repair for Volar Plating in Distal Radial Fractures. J Wrist Surg. 2021 Jul 5; 11(1): 41-47. doi: 10.1055/s-0041-1731329.

42. Liu X, Ye H, Shi J. Effectiveness of pronator quadratus muscle sparing in volar plate fixation for unstable distal radius fracture in adults. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020; 34(7): 814-819. doi: 10.7507/ 1002-1892.201911089.

43. Huang X, Jia Q, Li H, Kerem E, Peng C, Kong W, Tusunniyazi M, Hamiti Y, Feng D, Zhao Y. Evaluation of sparing the pronator quadratus for volar plating of distal radius fractures: a retrospective clinical study. BMC Musculoskelet Disord. 2022; 23(1): 625. doi: 10.1186/s12891-022-05576-3.

44. Zenke Y, Sakai A, Oshige T, Moritani S, Fuse Y, Maehara T, Nakamura T. Clinical results of volar locking plate for distal radius fractures: conventional versus minimally invasive plate osteosynthesis. J Orthop Trauma. 2011; 25(7): 425-431. doi: 10.1097/bot.0b013e3182008c83.

45. Chen CY, Lin KC, Yang SW, Renn JH, Tarng YW. Clinical results of using minimally invasive long plate osteosynthesis versus conventional approach for extensive comminuted metadiaphyseal fractures of the radius. Arch Orthop Trauma Surg. 2015; 135(3): 361-367. doi: 10.1007/s00402-015-2162-5.

46. Lebailly F, Zemirline A, Facca S, Gouzou S, Liverneaux P. Distal radius fixation through a mini-invasive approach of 15 mm. Part 1: a series of 144 cases. Eur J Orthop Surg Traumatol. 2014; 24(6): 877-890. doi: 10.1007/s00590-013-1363-2.

47. Maximov BI, Artemiev AA. Minimally invasive plate osteosynthesis of distal radius fractures: indications for use and features of the method. Issues of Reconstructive and Plastic Surgery. 2017; 20(2): 61-66. (In Russ.) doi: 10.17223/1814147/60/07.

48. Duncan SF, Weiland AJ. Minimally invasive reduction and osteosynthesis of articular fractures of the distal radius. Injury. 2001; 32(1): SA14-24. doi:10/1016/s0020-1383(01)00057-2.

49. Galmiche C, Rodríguez GG, Xavier F, Igeta Y, Hidalgo Diaz JJ, Liverneaux P. Minimally invasive plate osteosynthesis for extra-articular distal radius fracture in postmenopausal women: longitudinal versus transverse incision. J Wrist Surg. 2019; 8(01): 18-23. doi:10.1055/s-0038-1667305.

50. Liverneaux P, Ichihara S, Facca S, Hidalgo Diaz JJ. Outcomes of minimally invasive plate osteosynthesis (MIPO) with volar locking plates in distal radius fractures: A review. Hand Surg Rehabil. 2016; 35S: S80-S85. doi:10.1016/j.hansur.2016.02.011.

51. Wei XM, Sun ZZ, Rui YJ, Song XJ. Minimally invasive plate osteosynthesis for distal radius fractures. Indian J Orthop. 2014; 48(1): 20-24. doi:10.4103/0019-5413.125483.

52. Pire E, Hidalgo Diaz JJ, Salazar Botero S, Facca S, Liverneaux PA. Long volar plating for metadiaphyseal fractures of distal radius: study comparing minimally invasive plate osteosynthesis versus conventional approach. J Wrist Surg. 2017; 6(03): 227-234. doi: 10.1055/s-0037-1599791.

53. Zhang X, Huang X, Shao X, Zhu H, Sun J, Wang X. A comparison of minimally invasive approach vs conventional approach for volar plating of distal radial fractures. Acta Orthop Traumatol Turc. 2017 Mar; 51(2): 110-117. doi:10.1016/j.aott.2017.02.013.

54. Lee DY, Park YJ, Park JS. A Meta-analysis of studies of volar locking plate fixation of distal radius fractures: conventional versus minimally invasive plate osteosynthesis. Clin Orthop Surg. 2019; 11(2): 208-219. doi:10.4055/cios.2019.11.2.208.

55. Maksimov BI. Nearthrosis of the distal metaepiphysis of the radius after minimally invasive bone osteosynthesis. Bulletin of the National Medical and Surgical Center named after N.I. Pirogov. 2019; 14(3): 152-155. (In Russ.) doi: 10.25881/BPNMSC. 2018.22.37.008.

56. Smith JL, Ebraheim NA. Anatomy of the palmar cutaneous branch of the median nerve: a review. J Orthop. 2019; 16(6): 576-579. doi: 10.1016/j.jor.2019.06.010.

57. McKay SD, MacDermid JC, Roth JH, Richards RS. Assessment of complications of distal radius fractures and development of a complication checklist. J Hand Surg. 2001; 26(5): 916-922. doi:10.1053/jhsu.2001.26662.

58. Chiu YC, Kao FC, Tu YK. Flexor pollicis longus tendon entrapment after performing minimally invasive plate osteosynthesis of a distal radius fracture: a case report. Hand Surg. 2013; 18(3): 403-6. doi: 10.1142/S0218810413720246.

59. Ribeiro E, Campanholi G, Acherboim M, Ruggiero GM. Mini-Invasive Surgery for Distal Radius Fractures: A Double Incision under 12 mm. J Wrist Surg. 2021; 10(2): 136-143. doi:10.1055/s-0040-1721141.

60. Asmar G, Bellity J, Falcone MO. Surgical comfort and clinical outcomes of MIPO with an extra-short plate designed for distal radius fractures. Eur J Orthop Surg Traumatol. 2021; 31(3): 481-490. doi: 10.1007/s00590-020-02791-3.

61. Neubauer T, Plecko M, Grechenig S, Hartmann A, Ortmaier R, Hitzl W, Feigl G. Minimal invasive plating of distal radius fractures. A safe procedure? Ann Anat. 2019; 224: 172-178. doi: 10.1016/j.aanat.2019.05.001.

For citation

Maximov B.I. The evolution of osteosynthesis of distal radius fractures: systematic review. Bulletin of Pirogov National Medical & Surgical Center. 2022;17(4-2):106-113. (In Russ.) https://doi.org/10.25881/20728255_2022_17_4_2_106