Skyline view versus intraoperative 3D fluoroscopy for dorsal screw protrusion identification following volar plating in the treatment of distal radial fracture.

ABSTRACT:

Background

Dorsal screw protrusion can lead to complications such as extensor pollicis longus (EPL) tear or rupture after volar locking plate (VLP) fixation. Previous studies displayed that intraoperative 3D fluoroscopy and skyline view had similar diagnostic accuracy. This study investigated the efficacy of intraoperative 3D fluoroscopy compared to skyline view for detecting dorsal cortex screw protrusion in VLP procedures for unstable intra-articular distal radius fractures (DRF). We used postoperative computed tomography (CT) to assess the efficacy and addressed the limitations of previous methods in evaluating screw penetration accurately.

Methods

We utilized the ICUC database, a prospective cohort of patients with surgically treated DRF, to collect cases with available

SUBMITTER: Wung CH 

PROVIDER: S-EPMC11847362 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature