J Korean Fract Soc.  2009 Jul;22(3):172-178. 10.12671/jkfs.2009.22.3.172.

Plate Fixation of AO Type C3 Fractures of the Distal Radius

• Moon ES
• Kim MS
• Park HW
• Choi MS

• KMID: 2063906
• DOI: http://doi.org/10.12671/jkfs.2009.22.3.172

Abstract

PURPOSE: To evaluate clinical and radiographic results of open reduction and internal fixation with plate in AO type C3 distal radius fracture.
MATERIALS AND METHODS
We treated 18 fractures and the mean follow up was 16 months. The average age was 47.1 years old, 12 male and 6 female were included. There were 9 C3.1 fracture, 5 C3.2 and 4 C3.3. Green & O'Brien's modified clinical scoring system and Demerit Point system were applied to evaluate clinical results, for radiographic evaluation, radial length, radial inclination, volar tilt, and Sarmiento's Criteria for Anatomic results were assessed.
RESULTS
Clinical results were 5 of excellent, 7 of good, and 6 of fair by Green & O'Brien's score and were 5 of excellent, 6 of good, and 7 of fair by Demerit point. There was no significant difference of radiographic results between immediate postoperation and last follow-up, and Sarmiento's Criteria showed 8 excellent, 4 good, and 6 fair.
CONCLUSION
The open reduction and internal fixation with plate in AO type C3 distal radius is considered as a good treatment method that particularly benefits from fracture stable fixation without fixation loss and early rehabilitation.

Keyword

Distal radius fracture; AO type C3; Plate fixation

MeSH Terms

Female
Follow-Up Studies
Humans
Male
Radius
Radius Fractures

Figure

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  Fig. 1 Anteroposterior and lateral radiographs showdifferent plate fixation according to fracture personality. (A) Preoperative, immediate postoperative, and last follow up radiographs shows AO C3.1 case with volar plate. (B) Preoperative, immediate postoperative, and last follow up radiographs show complete AO C3.2 case with lateral buttress plate. (C) Preoperative, immediate postoperative, and last follow up radiographs shows AO C3.1 case with volar and lateral buttress plate.

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