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

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dc.authorid0000-0001-8437-5405
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.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:50:42Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:50:42Z
dc.date.issued2018
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.descriptionWOS: 000429064800003
dc.descriptionPubMed ID: 29615100
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 degrees pronation, 45 degrees 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.
dc.identifier.citationÖç, Y., Kılınç, B. E., Gülcü, A., Varol, A., Ertuğrul, R. ve Kara, A. (2018). Ultrasonography or direct radiography? A comparison of two techniques to detect dorsal screw penetration after volar plate fixation. Journal of Orthopaedic Surgery and Research, 13. https://dx.doi.org/10.1186/s13018-018-0774-5
dc.identifier.doi10.1186/s13018-018-0774-5
dc.identifier.issn1749-799X
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://dx.doi.org/10.1186/s13018-018-0774-5
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2051
dc.identifier.volume13
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBiomed Central Ltd.
dc.relation.ispartofJournal of Orthopaedic Surgery and Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectDistal Radius
dc.subjectUltrasonic Evaluation
dc.subjectVolar Plating
dc.subjectDorsal Cortex Penetration
dc.subjectScrew Penetration
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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