[Experiences and results with the locked compression plate for 603 fractures of the distal radius]

Between January 1999 and December 2003 we have treated 603 patients with a fracture of the distal radius without concomitant injuries with the Synthes locked compression plate. The locked compression plate, the concept of the postoperative treatment, and our results are presented. In most cases we have used the palmar plate. We see an indication for the palmar plate in the A2 and A3, B2 and B3 and in all C fractures. It is also practicable for fractures with dorsal comminutions. Because of its permanent retention due to the subchondral fixation of the splints (internal fixation), this new plate makes early mobilization possible. The palmar approach with its good soft-tissue coverage not only reduces the risk of infections but also offers the possibility of not having to remove the plate. A cancellous bone graft is only seldom necessary.