A rare case of peri-implant distal radius fracture

Leonardo Stramazzo; Alessio Cioffi; Giuseppe Rovere; Giulio Edoardo Vigni; Nicolò Galvano; Marcello Sallì; Antonio D'Arienzo; Lawrence Camarda; Michele D'Arienzo

doi:10.1016/j.tcr.2020.100387

A rare case of peri-implant distal radius fracture

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

Authors

Leonardo Stramazzo¹, Alessio Cioffi¹, Giuseppe Rovere², Giulio Edoardo Vigni¹, Nicolò Galvano¹, Marcello Sallì³, Antonio D'Arienzo⁴, Lawrence Camarda¹, Michele D'Arienzo¹

Affiliations

¹ Department of Orthopaedic Surgery (DICHIRONS), University of Palermo, Palermo, Italy.
² Department of Orthopaedics and Traumatology, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
³ Department of Physical Medicine and Rehabilitation, University of Palermo, Palermo, Italy.
⁴ Department of Orthopaedic Surgery, University of Pisa, Pisa, Italy.

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.

Publication types

Case Reports