Perforation of the Third Extensor Compartment by the Drill Bit During Palmar Plating of the Distal Radius

The frequency of penetration into the third extensor compartment when drilling the distal screw holes was assessed for four different palmar distal radius plates in 160 cadaver forearms. Penetration into this compartment occurred in 43%. Different plates had different penetration rates: 3.5 LCP four...

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Bibliographic Details
Published in:The Journal of hand surgery, European volume European volume, 2009-06, Vol.34 (3), p.333-335
Main Authors: PICHLER, W., GRECHENIG, W., CLEMENT, H., WINDISCH, G., TESCH, N. P.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Bone Plates
Cadaver
Diseases of the osteoarticular system
Female
Forearm
Fracture Fixation, Internal - adverse effects
Fracture Fixation, Internal - methods
Hand
Hand Injuries - etiology
Humans
Injuries of the limb. Injuries of the spine
Intraoperative Complications
Male
Medical sciences
Middle Aged
Radius Fractures - surgery
Surgical Instruments
Traumas. Diseases due to physical agents
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Summary:The frequency of penetration into the third extensor compartment when drilling the distal screw holes was assessed for four different palmar distal radius plates in 160 cadaver forearms. Penetration into this compartment occurred in 43%. Different plates had different penetration rates: 3.5 LCP four-hole locking T-plate: 20%, 3.5 LCP three-hole locking plate: 42.5%, 2.4 palmar LCP standard plate and the 2.4 palmar LCP buttress plate: 55%. When using a palmar plate on the distal radius, the surgeon risks penetrating into the third extensor compartment.
ISSN:1753-1934
2043-6289
DOI:10.1177/1753193408099821