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

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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Publication Details

Journal
Cureus
Published
2024-10-18
DOI
https://doi.org/10.7759/cureus.71803
Primary Topic
Orthopedic Surgery and Rehabilitation
Type
article
Field-Weighted Citation Impact
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article

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

Serge Ayong, P Pirlot, Mamoun Belkebir Mrani
Cureus
Orthopedic Surgery and Rehabilitation
article

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

Serge Ayong, P Pirlot, Mamoun Belkebir Mrani
article en

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.

CureusVol. 16(10)
Clinique Saint Pierre (BE)
Openalex Percentile: Top 66%
Orthopedic Surgery and Rehabilitation
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