title: Optimal Positioning for Volar Plate Fixation of a Distal Radius Fracture: Determining the Distal Dorsal Cortical Distance.
abstract: Distal radius fractures are currently among the most common fractures of the musculoskeletal system. With a population that is living longer, being more active, and the increasing incidence of osteoporosis, these injuries will continue to become increasingly prevalent. When operative fixation is indicated, the volar locking plate has recently become the treatment of choice. However, despite its success, suboptimal position of the volar locking plate can still result in radiographic loss of reduction. The distal dorsal cortical distance is being introduced as an intraoperative radiographic tool to help optimize plate position and minimize late loss of fracture reduction.
authors.affiliation: Hand and Microvascular Surgery, Harvard-Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Stoneman Building-10th Floor, Boston, MA 02215, USA. Electronic address: Michael.vosbikian@gmail.com.
authors.forename: Michael M
authors.initials: MM
authors.lastname: Vosbikian
authors.affiliation: Orthopaedic Surgery, Thomas Jefferson University Hospital, 1025 Walnut Street, College Building-Room 516, Philadelphia, PA 19107, USA.
authors.forename: Constantinos
authors.initials: C
authors.lastname: Ketonis
authors.affiliation: Orthopaedic Surgery, Thomas Jefferson University Hospital, 1025 Walnut Street, College Building-Room 516, Philadelphia, PA 19107, USA.
authors.forename: Ronald
authors.initials: R
authors.lastname: Huang
authors.affiliation: The Rothman Institute at Thomas Jefferson University Hospital, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107, USA.
authors.forename: Asif M
authors.initials: AM
authors.lastname: Ilyas
mesh_terms: D001696:Biomechanical Phenomena; D001860:Bone Plates; D001863:Bone Screws; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014955:Wrist Joint / Q000000981:diagnostic imaging
keywords: Distal radius fracture; Loss of reduction; Screw position; Volar locked plate; Volar tilt