[Osteosynthesis using plates in fractures of the lower end of the radius with anterior displacement]

A series of 55 distal radial fractures with anterior displacement have been fixed by an anterior plate. Results were excellent or good in 78 per cent, moderate in 18.1 per cent and poor in 3.7 per cent. There was no radio-clinical correlation. However when the reduction was good, clinical result was always good or excellent. On long-term follow-up, results were unchanged, except when an arthritis appeared (2 cases out of 14 with 5 or more years follow-up). Surgical technic must be strict to get a stable and anatomic reduction with all fragments maintained, to prevent tendinous and nervous complications and to allow an early mobilization. Most results were satisfactory.