Objective: The purpose of this study was to document a new complication in volar locking plating of the distal radius. Methods: Between January 2007 and January 2014, 223 patients were identified from the department’s surgical database with retrospective chart and radiographic review. Sixty-eight patients were over 60 years of age. All fractures were operated with Acu-Loc® (Acumed, Hillsboro, OR, USA) wrist volar locking plating systems. Longitudinal fracture lines (LFL) beneath volar plate-extending proximal shafts were documented. Correlations between age groups and LFLs were investigated. Radiographs with LFLs were assessed at final follow-up for the following parameters: volar tilt, radial inclination and radial length. Results: Twenty-eight of 68 patients over age of 60 years had LFLs. Correlation was significant for age groups (p<0.05). The effect of these fracture lines on radiographic parameters was not significant (p>0.05). Conclusion: Surgeons should be aware of the complications that may occur with volar locking plates. Understanding of potential complications and their results are important. As a result of aging, thinning, and weakening, the near cortex may become more brittle. When the plate is reduced on the bone with a nonlocking screw, the conical head of diaphyseal locking screws can extend over plate thickness and penetrate the near cortex, acting as a screwing wedge. Additional divergent configuration may promote this effect and crack the cortex.
Sugun, T., Gurbuz, Y., Ozaksar, K., Toros, T., et al. (2016). A new complication in volar locking plating of the distal radius: longitudinal fractures of the near cortex. Acta Orthopaedica Et Traumatologica Turcica, 50(2), 147.
AMA
Sugun T, Gurbuz Y, Ozaksar K, Toros T, Bal E, Kayalar M. A new complication in volar locking plating of the distal radius: longitudinal fractures of the near cortex. Acta Orthopaedica et Traumatologica Turcica. March 2016;50(2):147.
Chicago
Sugun, Tahir, Yusuf Gurbuz, Kemal Ozaksar, Tulgar Toros, Emin Bal, and Murat Kayalar. “A New Complication in Volar Locking Plating of the Distal Radius: Longitudinal Fractures of the Near Cortex”. Acta Orthopaedica Et Traumatologica Turcica 50, no. 2 (March 2016): 147.
EndNote
Sugun T, Gurbuz Y, Ozaksar K, Toros T, Bal E, Kayalar M (March 1, 2016) A new complication in volar locking plating of the distal radius: longitudinal fractures of the near cortex. Acta Orthopaedica et Traumatologica Turcica 50 2 147.
IEEE
T. Sugun, Y. Gurbuz, K. Ozaksar, T. Toros, E. Bal, and M. Kayalar, “A new complication in volar locking plating of the distal radius: longitudinal fractures of the near cortex”, Acta Orthopaedica et Traumatologica Turcica, vol. 50, no. 2, p. 147, 2016.
ISNAD
Sugun, Tahir et al. “A New Complication in Volar Locking Plating of the Distal Radius: Longitudinal Fractures of the Near Cortex”. Acta Orthopaedica et Traumatologica Turcica 50/2 (March 2016), 147.
JAMA
Sugun T, Gurbuz Y, Ozaksar K, Toros T, Bal E, Kayalar M. A new complication in volar locking plating of the distal radius: longitudinal fractures of the near cortex. Acta Orthopaedica et Traumatologica Turcica. 2016;50:147.
MLA
Sugun, Tahir et al. “A New Complication in Volar Locking Plating of the Distal Radius: Longitudinal Fractures of the Near Cortex”. Acta Orthopaedica Et Traumatologica Turcica, vol. 50, no. 2, 2016, p. 147.
Vancouver
Sugun T, Gurbuz Y, Ozaksar K, Toros T, Bal E, Kayalar M. A new complication in volar locking plating of the distal radius: longitudinal fractures of the near cortex. Acta Orthopaedica et Traumatologica Turcica. 2016;50(2):147.