J Korean Fract Soc.  2009 Oct;22(4):264-269. 10.12671/jkfs.2009.22.4.264.

Short Term Results of Operative Management with 2.4 mm Volar Locking Compression Plates in Distal Radius Fractures

• Park KC
• Lee CH

• KMID: 1469993
• DOI: http://doi.org/10.12671/jkfs.2009.22.4.264

Abstract

PURPOSE
To evaluate the short term outcome of internal fixation using 2.4 mm volar locking compression plate for the treatment of unstable distal radius fractures. MATERIALS AND METHODS: We retrospectively analyzed the results in 22 cases, which were treated with 2.4 mm volar locking compression plate. We evaluated the radiologic results and the clinical results according to Disabilities of the Arm, Shoulder and Hand (DASH) score and visual analogue scale. RESULTS: At final follow up, the mean VAS was 1.2 and mean DASH score was 10. Average loss of reduction from initial postoperative to final follow up radiographs was 0.36 mm of radial length, 0.2degrees of radial inclination, 0.6degrees of volar tilt. CONCLUSION: Fixation of unstable dorsally displaced distal radius fractures with a 2.4 mm volar locking compression plate provides sufficient stability with minimal loss of reduction and good enough clinical outcomes with less complications.

Keyword

Distal radius fracture; 2.4 mm volar locking compression plate

MeSH Terms

Arm
Follow-Up Studies
Hand
Radius
Radius Fractures
Retrospective Studies
Shoulder

Figure

• 

  Fig. 1 3.5 mm T-LCP (A), 2.4 mm volar extra-articular (B) and juxta-articular distal radius T-LCP (C). 2.4 mm volar distal radius T-LCPs have five smaller holes than 3.5 mm T-LCP on the head.

• 

  Fig. 2 (A) Complex intra-articular fracture in a 52-year-old woman. Computed tomography scans demonstrate the intra-articular fracture. (B) Anteroposterior and lateral radiographs are made ten months after volar fixation with 2.4 mm juxta-articular T-shaped locking compression plate.

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