[Multidirectional palmar fixed-angle plate fixation for unstable distal radius fracture]

Area of Science:

• Orthopedic surgery
• Traumatology
• Biomechanical engineering

Background:

• Distal radius fractures are common injuries.
• Unstable fractures often require surgical intervention for optimal outcomes.
• Traditional fixation methods may have limitations in achieving stable reduction and early motion.

Purpose of the Study:

• To evaluate the efficacy of a multidirectional palmar fixed-angle plate system (Aptus Radius 2.5) for treating unstable distal radius fractures.
• To assess the ability of this system to provide stable fixation and allow early functional recovery.
• To determine if subchondral support prevents secondary dislocation.

Main Methods:

• A prospective study of 61 patients with unstable distal radius fractures treated with the Aptus Radius 2.5 plate system.
• No bone grafting was used.
• Postoperative radiographic assessment and clinical follow-up including DASH and Krimmer scores were performed on 55 patients.

Main Results:

• All fractures achieved anatomical reduction and united without complications.
• Excellent radiographic alignment was maintained at follow-up.
• Patients demonstrated good functional recovery with preserved range of motion and grip strength, indicated by low DASH and high Krimmer scores.

Conclusions:

• The Aptus Radius 2.5 multidirectional palmar fixed-angle plate system offers stable internal fixation for unstable distal radius fractures.
• This system facilitates early mobilization and good functional outcomes.
• The multidirectional fixation and dual screw lines ensure optimal restoration of the articular surface and subchondral support.