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Locking distal radius plate--early results from India
M Shantharam Shetty1, M Ajith Kumar, Kanthi Kiran
1Department of Orthopaedics and Taumatology, Tejasvini Hospital SSIOT, Kadri, Mangalore, India.
The Journal of Trauma
|April 5, 2011
Summary
Volar locking plates effectively maintain reduction and provide good to excellent functional outcomes for intra-articular distal radius fractures. This surgical approach is a viable option for restoring wrist function after these injuries.
Area of Science:
- Orthopedic surgery
- Traumatology
- Radiology
Background:
- Restoring pre-injury wrist function after intra-articular distal radius fractures is a clinical challenge.
- Open reduction and internal fixation with angular stable implants are increasingly used, but evidence is limited.
- Volar locking plates are a newer option for these complex fractures.
Purpose of the Study:
- To evaluate the efficacy of volar locking plates in maintaining reduction of dorsally displaced intra-articular distal radius fractures.
- To assess patient-reported functional outcomes following treatment with volar locking plates.
Main Methods:
- A prospective study included 23 patients with intra-articular distal radius fractures treated with 2.4 mm volar locking plates.
- Follow-up averaged 36 weeks, with radiographic assessment for union and reduction maintenance.
- Functional outcomes were measured by wrist range of motion and Visual Analog Scale for pain.
Main Results:
- Radiographic union was achieved in all patients within 30 weeks.
- Excellent or good functional outcomes were reported in 22 out of 23 patients (95.6%).
- No neurovascular injuries or tendon ruptures were observed.
Conclusions:
- Volar locking plates demonstrate a high success rate in maintaining fracture reduction.
- This surgical technique offers a viable and effective option for treating intra-articular distal radius fractures.
- The procedure leads to favorable functional recovery and a low complication rate.
