Volar T-Locking Compression Plate for Treatment of Unstable Distal Radius Fractures

Chul Hyun Cho; Ki Choer Bae; Doo Hyun Kwon

doi:10.12671/jkfs.2008.21.3.220

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Cho, Bae, and Kwon: Volar T-Locking Compression Plate for Treatment of Unstable Distal Radius Fractures

Original Article

Journal of the Korean Fracture Society 2008; 21(3): 220-224.

Published online: 31 July 2008

DOI: https://doi.org/10.12671/jkfs.2008.21.3.220

Volar T-Locking Compression Plate for Treatment of Unstable Distal Radius Fractures

Chul Hyun Cho, M.D., Ki Choer Bae, M.D., Doo Hyun Kwon, M.D.

Department of Orthopedic Surgery, College of Medicine, Keimyung University, Daegu, Korea.

Address reprint requests to: Ki Choer Bae, M.D. Department of Orthopedic Surgery, College of Medicine, Keimyung University, 194, Dongsan-dong, Jung-gu, Daegu 700-712, Korea. Tel: 82-53-250-7729, Fax: 82-53-250-7205, bkc@dsmc.or.kr

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To evaluate outcomes volar T-locking compression plate for treatment of unstable distal radius fractures.

Materials and Methods

We retrospectively analysed the results in 35 cases, which were treated by volar plating with T-LCP. We evaluated the clinical results according to the Mayo wrist scoring system and radiographic results.

Results

The mean score was 83.86 respectively. Between preoperative and immediate postoperative radiographic measurements, averaged radial length was improved from 5.75 mm to 11.53 mm, radial inclination from 12.86° to 22.56°, volar tilt from -3.64° to 9.90° and intraarticular step-off from 1.48 mm to 0.42 mm. Between immediate postoperative and latest follow-up radiographic measurements, mean loss of radial length measured 0.43 mm, radial inclination 0.46°, volar tilt 0.89°.

Conclusion

Treatment of unstable distal radius fractures using a volar T-LCP showed satisfactory outcomes. We think that it is good surgical option to allow return to daily living, result in early postsurgical wrist motion.

Keywords: Distal radius, Unstable fracture, T-locking compression plate, Volar approach

Figures and Tables

Fig. 1

51-year-old woman with unstable distal radius fracture was treated by open reduction and internal fixation with T-LCP.

(A) Preoperative radiographs show AO classification C2 fracture.

(B) Immediate postoperative radiographs show successful reduction and fixation.

(C) Radiographs at 8 months postoperatively show no significant loss of reduction.

Table 1

Clinical details of 35 patients with unstable distal radius fracture

Table 2

Results according to Mayo wrist score system

Table 3

Results according to the radiographic evaluation

^*S.D.: Standard deviation.

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