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Initial experience with the Forte plate for dorsally displaced distal radius fractures
1Department of Orthopaedic Surgery, Trondheim University Hospital, 7006 Trondheim, Norway. vilh.finsen@medisin.ntnu.no
Injury
|June 1, 2000
Summary
The Forte plate offers satisfactory clinical outcomes for distal radius fractures, but a concerning increase in volar tilt was observed post-surgery in many patients.
Area of Science:
- Orthopedic surgery
- Traumatology
- Implant technology
Background:
- Open reduction and plate osteosynthesis is a treatment for dorsally displaced distal radius fractures.
- The Forte plate is a recently introduced, purpose-made implant for such fractures.
Purpose of the Study:
- To review medium-term clinical and radiological outcomes of the Forte plate in distal radius fracture fixation.
- To assess the efficacy and potential complications associated with the Forte plate.
Main Methods:
- Retrospective review of 25 patients treated with the Forte plate for distal radius fractures.
- Follow-up at 19 months (12-24 months) assessing clinical results and radiological parameters.
- Analysis of fracture energy, joint involvement, and implant-related issues.
Main Results:
- Overall, 22 patients had satisfactory clinical results (6 excellent, 12 good, 4 fair).
- Three patients required re-operation due to poor outcomes.
- Twenty patients showed increased volar angulation of the distal radius post-operatively, with nine exceeding 10 degrees; seven had 20-30 degrees volar tilt at final review.
Conclusions:
- The Forte plate provides satisfactory clinical results for distal radius fractures.
- A significant increase in postoperative volar tilt is a notable concern requiring further investigation.
- Careful monitoring for distal radius volar tilt is recommended after fixation with the Forte plate.