Hand Trauma
Intrafocal Pin Plate Fixation of Distal Ulna Fractures Associated With Distal Radius Fractures
Foster BJ, Bindra RR (Loyola Univ Med Ctr, Maywood, IL) J Hand Surg 37A:356-359, 2012§
Evidence Ranking
• E
Expert Rating
• 2
Abstract
Subcapital ulnar fractures in association with distal radius fractures in elderly patients increase instability and pose a treatment challenge. Fixation of the ulnar fracture with traditional implants is difficult due to the subcutaneous location, comminution, and osteoporosis. We describe an intrafocal pin plate that provides fixation by a locking plate on the distal ulna and intramedullary fixation within the shaft. The low profile and percutaneous technique make this device a useful alternative for treatment of subcapital ulna fractures in the elderly (Fig 2).
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