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Case Reports
. 2020 Dec 9:31:100387.
doi: 10.1016/j.tcr.2020.100387. eCollection 2021 Feb.

A rare case of peri-implant distal radius fracture

Leonardo Stramazzo  1 , Alessio Cioffi  1 , Giuseppe Rovere  2 , Giulio Edoardo Vigni  1 , Nicolò Galvano  1 , Marcello Sallì  3 , Antonio D'Arienzo  4 , Lawrence Camarda  1 , Michele D'Arienzo  1
Affiliations
Case Reports

A rare case of peri-implant distal radius fracture

Leonardo Stramazzo et al. Trauma Case Rep. .

Abstract

A peri-implant fracture near the volar plate of distal radius represent a very rare injury. The main factor of this lesion is high energy trauma on the wrist. We report a case of a 61-year-old woman with a peri-implant fracture located just proximally to the plate and a fracture of the ulnar head that occurred after a simple fall. The patient was surgically treated by plate and screws removal. The fracture was fixed using a longer volar plate for the radial fracture and a plate for the head ulnar fracture. Different factors such as osteoporosis, BMI and screw position could influence the fracture pattern. However, considering growing use of plates for distal radius fracture fixation, the frequency of these kind of fracture will probably increase.

Keywords: Peri-implant radius fracture; Radius and ulna fracture; Radius hardware substitution; Wrist fracture.

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Conflict of interest statement

All authors have disclosed all financial support for this work and other potential conflict of interests related to the publication of this manuscript.

Figures

Fig. 1
Fig. 1
X-ray shows fracture of the radius proximally to the plate and fracture of the ulnar head in antero-posteral and lateral views.
Fig. 2
Fig. 2
X-rays in AP and LL: postoperative reduction of fractures using a longer volar plate for the radial fracture and a plate for the head ulnar fracture (a), good consolidation of fractures at 3 months follow-up (b), complete consolidation of fractures at 6 months follow-up (c).
Fig. 3
Fig. 3
Clinical results at 6 months follow up: complete restoration of flexion-extension and prono-supination.
See this image and copyright information in PMC

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