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Preoperative-to-Postoperative Radiological Outcomes Following Open Reduction and Internal Fixation With Volar Locking
Aditya K Singh1, Indrajit D Bhoumik1, Abhishek Choudhary1
1Department of Orthopedics, Government Doon Medical College, Dehradun, IND.
Cureus
|June 12, 2026
Summary
Open reduction and internal fixation (ORIF) with volar locking plates effectively restores anatomical alignment for distal radius fractures (DFRs). This surgical approach leads to significant radiological improvements and satisfactory outcomes in most patients.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Radiology
Background:
- Distal radius fractures (DFRs) are common, especially in osteoporotic women, often caused by falls.
- Anatomical alignment is crucial for functional recovery, preventing stiffness and malunion.
- Volar locking plates offer biomechanical stability and enable early mobilization.
Purpose of the Study:
- To evaluate immediate postoperative radiological outcomes after volar locking plate fixation for DFRs.
- To compare postoperative radiological parameters with preoperative measurements.
- To assess the effectiveness of this surgical technique in achieving anatomical reduction.
Main Methods:
- Prospective observational study of 50 adult patients with closed DFRs.
- Surgical intervention: Open reduction and internal fixation (ORIF) using volar locking plates.
- Radiological assessment: Preoperative and postoperative AP/lateral views measuring dorsal tilt, radial inclination, radial height, ulnar variance, and radial deviation.
Main Results:
- Significant improvements in all radiological parameters (p < 0.001).
- Mean dorsal tilt improved from 12° to 0.38° loss of palmar tilt.
- Radial inclination, radial height, and ulnar variance showed significant favorable changes.
- 70% of patients achieved excellent outcomes (Sarmiento's grading), with minimal residual deformity.
Conclusions:
- ORIF with volar locking plates provides favorable immediate postoperative radiological restoration for DFRs.
- This technique is a reliable option for achieving anatomical alignment and satisfactory correction.
- Further long-term studies are needed to assess functional outcomes, union, and complications.
