Volar Locking Plate Implant Prominence and Flexor Tendon Rupture

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Presentation transcript:

Volar Locking Plate Implant Prominence and Flexor Tendon Rupture by Maximillian Soong, Brandon E. Earp, Gavin Bishop, Albert Leung, and Philip Blazar J Bone Joint Surg Am Volume 93(4):328-335 February 16, 2011 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Anterior and lateral photographs of a distal radial model, demonstrating the watershed line (arrowheads). Anterior and lateral photographs of a distal radial model, demonstrating the watershed line (arrowheads). Maximillian Soong et al. J Bone Joint Surg Am 2011;93:328-335 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Photograph of the Acu-Loc standard left volar distal radial plate at the position of best fit on a model. Photograph of the Acu-Loc standard left volar distal radial plate at the position of best fit on a model. Maximillian Soong et al. J Bone Joint Surg Am 2011;93:328-335 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Photograph of the DVR standard left volar distal radial plate at the position of best fit on a model. Photograph of the DVR standard left volar distal radial plate at the position of best fit on a model. Maximillian Soong et al. J Bone Joint Surg Am 2011;93:328-335 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Radiograph illustrating the determination of implant prominence with use of a line (the critical line) through the most volar extent of the volar rim (red line), drawn parallel to the volar cortical bone of the radial shaft (green line). Radiograph illustrating the determination of implant prominence with use of a line (the critical line) through the most volar extent of the volar rim (red line), drawn parallel to the volar cortical bone of the radial shaft (green line). Maximillian Soong et al. J Bone Joint Surg Am 2011;93:328-335 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Lateral radiographs of a distal radial fracture treated with an Acu-Loc plate demonstrating (A) Grade-0 prominence (dorsal to critical line), (B) Grade-1 prominence (volar to critical line, proximal to volar rim), and (C) Grade-2 prominence (volar to critic... Lateral radiographs of a distal radial fracture treated with an Acu-Loc plate demonstrating (A) Grade-0 prominence (dorsal to critical line), (B) Grade-1 prominence (volar to critical line, proximal to volar rim), and (C) Grade-2 prominence (volar to critical line, at volar rim). Maximillian Soong et al. J Bone Joint Surg Am 2011;93:328-335 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Lateral radiographs of a distal radial fracture treated with a DVR plate, demonstrating (A) Grade-0 prominence (dorsal to critical line) and (B) Grade-1 prominence (volar to critical line, proximal to volar rim). Lateral radiographs of a distal radial fracture treated with a DVR plate, demonstrating (A) Grade-0 prominence (dorsal to critical line) and (B) Grade-1 prominence (volar to critical line, proximal to volar rim). Maximillian Soong et al. J Bone Joint Surg Am 2011;93:328-335 ©2011 by The Journal of Bone and Joint Surgery, Inc.