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The volar locking plate for extension fractures of the distal radius

Bony healing of dislocated distal radius fractures after open reduction and internal stabilization by locking screws/pins using palmar approach. Extraarticular distal radius fractures type A2/A3, simple extra- and intraarticular fractures type C1 according to the AO classification, provided a palmar...

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Published in:Operative Orthopädie und Traumatologie 2016-02, Vol.28 (1), p.47-63; quiz 64
Main Authors: Pillukat, T, Fuhrmann, R, Windolf, J, van Schoonhoven, J
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Windolf, J
van Schoonhoven, J
description Bony healing of dislocated distal radius fractures after open reduction and internal stabilization by locking screws/pins using palmar approach. Extraarticular distal radius fractures type A2/A3, simple extra- and intraarticular fractures type C1 according to the AO classification, provided a palmar approach is possible. Forearm soft tissue lesions/infections. As a single procedure if a volar approach not possible. Palmar approach to the distal radius and fracture. Open reduction. Palmar fixation of the plate to radial shaft with single screw. After fluoroscopy, distal fragments fixed using locking screws. Below-the-elbow cast for 2 weeks. Early exercise of thumb and fingers, wrist mobilization after cast removal. Complete healing after 6-8 weeks. Ten patients averaged 100% range of motion of the unaffected side after 43±21 months. No complications observed. DASH score averaged 12±16 points; Krimmer wrist score was excellent in 7, good in 2, and fair in one.
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subjects Bone Plates
Bone Screws
Evidence-Based Medicine
Female
Fracture Fixation, Internal - instrumentation
Fracture Fixation, Internal - methods
Fracture Healing
Humans
Male
Middle Aged
Radius Fractures - diagnosis
Radius Fractures - surgery
Treatment Outcome
Wrist Injuries - diagnosis
Wrist Injuries - surgery
title The volar locking plate for extension fractures of the distal radius
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