Open reduction and plate fixation of dorsally displaced fractures of the distal radius: surgical technique, clinical and radiological outcome

• Published in: The Journal of hand surgery, European volume European volume, 2010-01, Vol.35 (1), p.56-60
• Main Authors: Hems, T. E. J., Rooney, B.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Biological and medical sciences; Bone Plates; Diseases of the osteoarticular system; Female; Fracture Fixation, Internal - methods; Humans; Injuries of the limb. Injuries of the spine; Male; Medical sciences; Middle Aged; Radiography; Radius Fractures - diagnostic imaging; Radius Fractures - surgery; Traumas. Diseases due to physical agents; Treatment Outcome; Young Adult
• ISSN: 1753-1934; 2043-6289
• DOI: 10.1177/1753193409106178

Thirty-five unstable dorsally displaced fractures of the distal radius in 34 patients (mean age 39) were studied; 28 fractures were intra-articular. All fractures had open reduction and fixation, through a dorsal approach, with mini-fragment plates placed between the first and second dorsal tendon compartments and deep to the fourth compartment. A congruous reduction of the articular surface was obtained in all cases. Twenty-four patients were available for follow-up (median 38 months). The Modified Mayo wrist score was excellent in 12 cases, good in four, and fair in eight. The median Patient Evaluation Measure score was 23.5. There were no cases of extensor tendon rupture. Radiographic assessment at follow-up showed a mean palmar angle of 6°. There was evidence of osteoarthritis in six patients who had had intra-articular fractures. Open reduction and plating gives satisfactory medium term results for treatment of displaced intra-articular fractures of the distal radius in young patients.