Penetración intraarticular de tornillos en el manejo de las fracturas del radio distal con placa volar, dificultades en el análisis de las imágenes intraoperatorias

Abstract

An increasingly demanding patient population and the introduction of new techniques and technologies bring new challenges. Radial distal fractures are a common condition, this injury wants early mobilization to achieve a quick return to work and adequate function. While it has been shown to be a successful treatment modality it is associated with possible side effects, joint screw penetration, and tendinopathy from suboptimal screw placement. The literature reports articles that demonstrate the use of specific intraoperative images to assess intra-articular screw penetration in the surgical fixation of the distal radius fracture, however, these studies have largely used cadaveric models. We present a study of the intraoperative image in a mock bone model, we were able to hide the screw penetration with standard intraoperative views that are taken to observe that screw penetration does not occur.