The Journal of Bone and Joint Surgery (American). 2008;90:401-403.
doi:10.2106/JBJS.G.00939
© 2008 The Journal of Bone and Joint Surgery, Inc.
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Inadvertent Retention of Angled Drill Guides After Volar Locking Plate Fixation of Distal Radial Fractures

A Report of Three Cases

Timothy Bhattacharyya, MD1 and Ajay D. Wadgaonkar, BS1

1 Partners Orthopaedic Trauma Service, Massachusetts General Hospital, 55 Fruit Street, Yawkey 3600, Boston, MA 02118
Investigation performed at the Partners Orthopaedic Trauma Service, Massachusetts General Hospital, and Brigham and Women's Hospital, Boston, Massachusetts

The first 150 words of the full text of this article appear below.


   Introduction
 
Advances in locking plate technology have proven especially valuable for fixation of distal radial fractures, and preliminary results have been excellent1-6. However, new technology can sometimes lead to new complications. In some systems, the locking plates are preloaded with angled drill guides to allow for easy placement of locking screws in the proper direction (Fig. 1). The drill guides are designed to be removed prior to closure. We report the cases of three patients in whom the angled drill guides were retained after surgery. Institutional review board approval was obtained for this study, and the patients were informed that data concerning the case would be submitted for publication, and they consented.


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  		Fig. 1 The Hand Innovations Distal Volar Radius (DVR) locking plate. The proximal and distal rows are preloaded with angled drill guides.

 

   Case Reports
 
CASE 1. A sixty-three-year-old woman sustained a closed distal radial fracture after a fall. Attempted . . . [Full Text of this Article]


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I counted them all out and I counted them all back
Andrew Clarke, et al.
JBJS Online, 18 Mar 2008 [Full text]