Ultrasonography or direct radiography? A comparison of two techniques to detect dorsal screw penetration after volar plate fixation

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dc.contributor.authorÖç, Yunus
dc.contributor.authorKılınç, Bekir Eray
dc.contributor.authorGülcü, Anıl
dc.contributor.authorVarol, Ali
dc.contributor.authorErtuğrul, Rodi
dc.contributor.authorKara, Adnan
dc.date.accessioned2021-02-19T21:20:46Z
dc.date.available2021-02-19T21:20:46Z
dc.date.issued2018
dc.departmentALKÜ
dc.description.abstractBackground: Complications related to extensor tendons have begun to increase with the use of volar plates in the treatment of distal radius fractures. In this study, we aimed to compare four-plane radiography and ultrasonography in the evaluation of dorsal cortex screw penetration following volar plate fixation. Methods: We recruited 47 patients (33 males, 14 females, mean age 37.4 years; range 18-58 years). To evaluate dorsal screw penetration in all patients, we performed radiographs at 45° pronation, 45° supination and obtained dorsal tangential graphs at maximum palmar flexion, and a wrist lateral radiograph. Wrist ultrasonography was performed in all patients. Results: Dorsal screw penetration was detected in 12 of the 47 patients undergoing VLP application. While there was >2 mm screw penetration in seven patients, there was <2 mm screw penetration in five patients. On four-plane radiographs, screw penetration >2 mm was detected in seven patients and screw penetration <2 mm was detected in two patients. On four-plane radiography, dorsal screw penetration was not detected in three out of five patients, who were shown to have <2 mm screw penetration by ultrasonography. In addition to perioperative four-plane radiographs are also required to detect dorsal cortex penetration in patients undergoing VLP due to distal radius fracture. However, the detection of screw penetrations <2 mm is more likely with ultrasonography compared to four-plane radiography. Conclusion: We recommend that dorsal cortex screw penetration should be evaluated with perioperative ultrasonography. © 2018 The Author(s).
dc.identifier.doi10.1186/s13018-018-0774-5
dc.identifier.issn1749-799X
dc.identifier.issue1en_US
dc.identifier.pmid29615100
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1186/s13018-018-0774-5
dc.identifier.urihttps://hdl.handle.net/20.500.12868/672
dc.identifier.volume13en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthor0-belirlenecek
dc.language.isoen
dc.publisherBioMed Central Ltd.
dc.relation.ispartofJournal of Orthopaedic Surgery and Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDistal radius
dc.subjectDorsal cortex penetration
dc.subjectScrew penetration
dc.subjectUltrasonic evaluation
dc.subjectVolar plating
dc.titleUltrasonography or direct radiography? A comparison of two techniques to detect dorsal screw penetration after volar plate fixation
dc.typeArticle

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