Imperial College London
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DrArulRamasamy

Faculty of Engineering, Department of Bioengineering

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

a.ramasamy09

 
 
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Location

 

B304BBessemer BuildingSouth Kensington Campus

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Summary

 

Publications

Citation

BibTex format

@article{Evans:2014:10.1016/j.rcot.2013.11.005,
author = {Evans, S and Ramasamy, A and Deshmukh, SC},
doi = {10.1016/j.rcot.2013.11.005},
journal = {Revue de Chirurgie Orthopedique et Traumatologique},
pages = {225--225},
title = {Distal volar radial plates: How anatomical are they?},
url = {http://dx.doi.org/10.1016/j.rcot.2013.11.005},
volume = {100},
year = {2014}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background: Fractures of the distal radius are common, with volar locking plates being increasingly used in their treatment. They aim to provide stable internal fixation and are designed to mirror the natural anatomy. Current volar plate designs incorporate a volar cortical angle (VCA) of 25 degrees. Hypothesis: The aim of this study is to determine whether the VCA in uninjured distal radii corresponds accurately with modern volar plate designs. Materials and methods: A retrospective radiological analysis utilizing computed tomography scans to assess the VCA of 100 distal radii. Each distal radius was subjected to 3 measurements of the VCA in the sagittal plane. Results: One hundred patients were identified (67 males, 33 females; mean age 37.4. years). The mean VCA was 32.9 degrees (SD ± 5.14 degrees). The VCA in male patients was significantly greater than in females (33.6 vs. 31.5 degrees; P= 0.04). There was a statistically significant difference between the lateral VCA and medial VCA (32.2 vs. 34.3 degrees, P= 0.02). Discussion: Our study clearly demonstrates that the VCA measured in the distal radius is significantly greater than the volar angulation incorporated within modern plate design. Given that the aim of ORIF is to anatomically reconstruct the distal radius, our study highlights that this may not be possible with current plates. Levels of evidence: Level IV. Retrospective case series. © 2014 Elsevier Masson SAS.
AU  - Evans,S
AU  - Ramasamy,A
AU  - Deshmukh,SC
DO  - 10.1016/j.rcot.2013.11.005
EP  - 225
PY  - 2014///
SN  - 1877-0517
SP  - 225
TI  - Distal volar radial plates: How anatomical are they?
T2  - Revue de Chirurgie Orthopedique et Traumatologique
UR  - http://dx.doi.org/10.1016/j.rcot.2013.11.005
VL  - 100
ER  -
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