Dual Plating and Dorsal Bridge Plating for Comminuted Distal Radius Fractures: A Systematic Review

Area of Science:

• Orthopedic Surgery
• Traumatology
• Radiology

Background:

• Complex AO type C distal radius fractures are challenging injuries.
• Advanced fixation techniques are often necessary for optimal treatment.
• Combined dorsal and volar plating and dorsal bridge plating are common strategies.

Purpose of the Study:

• To systematically review and compare functional and radiographic outcomes.
• To analyze complications associated with combined plating and dorsal bridge plating.
• To evaluate treatment strategies for complex distal radius fractures.

Main Methods:

• Systematic review adhering to PRISMA guidelines.
• Searched Embase, Medline, and Web of Science databases.
• Included studies reporting outcomes for adult patients with complex distal radius fractures treated with either combined or bridge plating.

Main Results:

• 16 studies with 629 fractures (419 combined, 210 bridge plating) were analyzed.
• Both techniques improved wrist function (DASH scores: 12.07 combined, 25.20 bridge) and radiographic alignment.
• Low complication rates observed, with infection rates of 2.86% for both; revision rates were 4.30% (combined) and 5.71% (bridge).

Conclusions:

• Combined plating and dorsal bridge plating demonstrate promising results for complex distal radius fractures.
• Both methods achieve satisfactory functional and radiographic outcomes.
• Further comparative studies are essential to establish the optimal management approach.