Learn the Distal Radial fracture fixation with dorsal approach and Synthes 24mm variable angle plating system surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Distal Radial fracture fixation with dorsal approach and Synthes 24mm variable angle plating system surgical procedure.
This is a detailed step by step instruction through fragment specific dorsal plating of a distal radius fracture using Depuy SynthesTM 2.4mm variable angle plating system.
This is a procedure undertaken for complex comminuted intra-articular distal radius fractures. It allows for fragment specific fixation of the fracture and can be combined with arthroscopic assessment if necessary.
The post-operative regimen will depend on the complexity of the fracture and the confidence of the surgeon in the hold of the fixation.
Commonly the patient is placed into plaster cast for 7-10 days for comfort and to allow post-operative swelling to settle and then mobilisation begins with the hand therapy team with a Futuro wrist splint to be used for comfort at the patients discretion.
Heavy loading of the wrist and aggressive passive exercises are not started before 6 weeks post-operatively.
Author: Mr Mark Brewster FRCS (Tr & Orth)
Institution: The Royal Orthopaedic Hospital, Birmingham, UK.
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Question 1 of 14
1. Question
Which ONE of these options is not one of the common main 3 fragments in a distal radius fracture pattern?
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Question 2 of 14
2. Question
Which ONE is the most common nerve to be injured in a dorsally displaced distal radius fracture?
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Question 3 of 14
3. Question
Which ONE of these is a relative contraindication for using dorsal plate approach to distal radius fixation?
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Question 4 of 14
4. Question
which ONE option describes the diameter of the drill used for the 2.4mm screws on the DePuy Synthes dorsal plating system?
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Question 5 of 14
5. Question
Which ONE option describes the total arc or variable angle that is available in the DePuy Synthes VA dorsal plating system?
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Question 6 of 14
6. Question
Which ONE option best describes the extensor compartment within which the Posterior Interosseous nerve and artery are most commonly found?
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Question 7 of 14
7. Question
Which ONE option describes the tendon whose insertion may be completely detached from the radius to allow easier reduction of the radial styloid fragment?
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Question 8 of 14
8. Question
Which ONE is usually the first hole to be filled with a screw in the dorsal plates?
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Question 9 of 14
9. Question
Which ONE option best describes how a surgeon can avoid penetrating the joint with the distal radial column screws ?
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Question 10 of 14
10. Question
Which ONE option describes the colour of the Variable angle screws on the 2,4mm VA DePuy Synthes dorsal plating system?
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Question 11 of 14
11. Question
Which ONE best describes action(s) which should be undertaken after wound closure and before the application of the wool and plaster cast?
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Question 12 of 14
12. Question
Which ONE answer best describes how the wool is applied in all cases to the wrist before plaster application ?
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Question 13 of 14
13. Question
Which ONE analgesia is not routinely prescribed for complex wrist fracture patients to take home?
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Question 14 of 14
14. Question
Which ONE option best describes the complication rates of volar versus dorsal plating of the distal radius according to the papers listed in the results section?