Unique Presentation of Refracture of the Distal Radius With Volar Plate Bending in an Elderly Patient.

Cureus

Orthopedics and Traumatology, Clinique Saint Pierre Ottignies, Ottignies, BEL.

Published: October 2024

AI Article Synopsis

  • The case report discusses an 80-year-old woman who experienced a refracture of her distal radius after a fall, leading to an unusual situation of bending in her titanium volar plate used for previous surgery.
  • Previously healed two and a half years ago, the plate showed significant dorsal angulation on X-rays, prompting the need for surgical revision.
  • This case is notable as it's the first documented instance of bending in a modern titanium volar plate, adding important data to the understanding of implant failures.

Article Abstract

This case report presents the unique case of an 80-year-old woman who sustained a refracture of the distal radius following a fall, resulting in a rare instance of volar plate bending. The patient had undergone osteosynthesis with a titanium volar plate 2.5 years earlier, which had fully healed. Radiographs showed a 50° dorsal angulation of the previously implanted plate, necessitating surgical revision. A modified Henry approach was used to remove the bent plate and implant a new one. While literature documents two prior cases of volar plate bending, both involved older plate designs. This report is the first to describe bending in a modern titanium volar plate, making it a rare and significant contribution to current knowledge on implant failure.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11489008PMC
http://dx.doi.org/10.7759/cureus.71803DOI Listing

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