Volar Distal Radius Plate Standard

Volar Distal Radius Plate - (ASLP)

  • Patient Evaluation : Conduct a comprehensive evaluation of the patient's medical history, physical condition, and any pre-existing health issues that may affect the surgery or recovery process.

  • Imaging Studies : Review X-rays, CT scans, or other imaging studies to assess the extent and nature of the distal radius fracture. This will help in determining the appropriate plate size and configuration for the patient's specific anatomy.

  • Informed Consent : Schedule a detailed consultation with the patient to discuss the procedure, potential risks, benefits, and expected outcomes. Obtain informed consent from the patient to proceed with the surgery.

  • Pre-Operative Instructions : Provide the patient with clear pre-operative instructions, which may include fasting guidelines and medication protocols. Following these instructions diligently is crucial to minimize potential risks and complications during the surgery.

  • Operating Room Preparation : Ensure that the operating room is well-equipped with the necessary instruments, implants, and advanced technology to facilitate a smooth and efficient surgical procedure.

  • Surgical Team Coordination : Ensure effective communication and coordination among the surgical team members to ensure a seamless surgery.

  • Pre-Operative Briefing : Conduct a pre-operative briefing with the surgical team to review the surgical plan, patient details, and any specific considerations for the procedure.

  • Anesthesia Plan : Collaborate with the anesthesiologist to determine the most appropriate anesthesia plan for the patient.

  • Patient Comfort and Safety : Prioritize patient comfort and safety throughout the pre-operative process, addressing any concerns or questions they may have.

  • Post-Operative Planning : Discuss post-operative care and rehabilitation plans with the patient to facilitate a smooth recovery process.
  • Anesthesia : Administer the appropriate anesthesia to ensure the patient's comfort and pain control during the surgery. General or regional anesthesia may be used based on the patient's condition and the surgeon's preference.

  • Patient Positioning : Position the patient supine on the operating table with the affected arm placed on an arm table or hand table. Ensure proper padding and positioning to prevent pressure points.

  • Surgical Approach : Make an incision over the volar aspect of the distal radius to access the fracture site. The length and location of the incision will depend on the fracture pattern and the surgeon's preference.

  • Fracture Reduction : Gently manipulate the fractured bone fragments to restore proper alignment and anatomical position. Use fluoroscopy or image intensification to verify the reduction accuracy.

  • Plate Placement : Select the appropriate size and configuration of the Volar Distal Radius Plate ASLP based on pre-operative planning and the patient's anatomy. Carefully position the plate on the volar aspect of the distal radius, ensuring proper alignment with the bone.

  • Screw Insertion : Use angle-stable locking screws to secure the plate to the bone, providing enhanced stability and fixation. Insert the screws through the plate and into the bone at the predetermined angles, as planned during the pre-operative phase.

  • Wound Closure : Close the incision carefully, using sutures or staples. Ensure proper hemostasis and wound care to prevent infection.

  • Post-Operative Care : Place a sterile dressing over the wound and apply a splint or cast to immobilize the wrist during the initial healing period.

  • Follow-Up : Schedule regular follow-up appointments to monitor the patient's progress, assess the healing process, and adjust the treatment plan as needed. Remove sutures or staples at the appropriate time.

  • Rehabilitation : Initiate a personalized rehabilitation program, which may include physical therapy and exercises, to gradually restore wrist function, strength, and range of motion.
  • Recovery Area : Transfer the patient to the post-anesthesia care unit (PACU) or recovery area for close monitoring during the initial recovery phase.

  • Pain Management : Implement a pain management plan to ensure the patient's comfort. Administer prescribed pain medications as needed and adjust the dosage according to the patient's response.

  • Wound Care : Monitor the surgical incision site for any signs of infection, redness, or swelling. Keep the wound clean and dry, following the surgeon's instructions for dressing changes.

  • Immobilization : Maintain the wrist in a splint or cast as prescribed by the surgeon to protect the surgical site and promote proper bone healing.

  • Elevation : Encourage the patient to elevate the affected arm above heart level whenever possible to reduce swelling and enhance circulation.

  • Mobility and Rehabilitation : Gradually initiate a personalized rehabilitation program under the guidance of a physical therapist. This may include gentle wrist exercises to improve range of motion and strength.

  • Follow-Up Visits : Schedule regular follow-up appointments with the surgeon to assess the healing progress, remove sutures or staples if applicable, and adjust the treatment plan as necessary.

  • Weight-Bearing : Advise the patient on weight-bearing restrictions, if any, to protect the wrist during the initial healing phase.

  • Medications : Ensure the patient complies with prescribed medications, including pain relievers and antibiotics if prescribed, to prevent infection and support healing.

  • Return to Daily Activities : Gradually encourage the patient to resume daily activities, avoiding strenuous or high-impact tasks until cleared by the surgeon.

  • Patient Education : Provide the patient with post-operative instructions and guidelines on wound care, activity restrictions, and rehabilitation exercises. Educate them about signs of potential complications and when to seek medical attention.

  • Lifestyle Recommendations : Encourage the patient to maintain a healthy lifestyle, including a balanced diet and adequate hydration, to support the healing process.