Closed Management of a Distal Radius Refracture Through a Bent Volar Plate: Can an Open Procedure be Avoided?: A Case Report. Issue 3 (18th July 2020)

• Record Type: Journal Article
• Authors: Hall, Christopher; Lambers, Anton; Gohil, Satyen
• Is Part Of: JBJS case connector. Volume 10:Issue 3(2020)
• Page Start: e19.00615
• Page End: e19.00615
• Publication Date: 2020-07-18
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.19.00615
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 55-year-old man sustained a distal radius fracture, which was fixed with a volar plate 20 years ago. He then fell from 2 m and sustained a refracture with a bent but intact volar plate. A manipulation under anaesthetic/anaesthesia was attempted. Satisfactory reduction was confirmed and maintained, with bony union confirmed at 6 months. Regular follow-up showed continuing functional improvement. Conclusion: This rare case avoided surgical intervention and its associated risks and costs. Attempted closed reduction can be considered a treatment option before open revision fixation, with demonstrated ability for fracture healing in an acceptable position.