Plate Fixation of AO Type C3 Fractures of the Distal Radius

Eun-Sun Moon; Myung-Sun Kim; Hyeong-Won Park; Min-Sun Choi

doi:10.12671/jkfs.2009.22.3.172

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Moon, Kim, Park, and Choi: Plate Fixation of AO Type C3 Fractures of the Distal Radius

Original Article

Journal of the Korean Fracture Society 2009; 22(3): 172-178.

Published online: 31 July 2009

DOI: https://doi.org/10.12671/jkfs.2009.22.3.172

Plate Fixation of AO Type C3 Fractures of the Distal Radius

Eun-Sun Moon, M.D., Myung-Sun Kim, M.D., Hyeong-Won Park, M.D., Min-Sun Choi, M.D.

Department of Orthopaedic Surgery, College of Medicine, Chonnam National University, Gwangju, Korea.

Address reprint requests to: Myung-Sun Kim, M.D. Department of Orthopaedic Surgery, College of Medicine, Chonnam National University, 8, Hak-dong, Dong-gu, Gwangju 501-757, Korea. Tel: 82-62-220-6336, Fax: 82-62-225-7794, rhamses@chol.com

Received 10 March 2009 Revised 20 April 2009 Accepted 15 June 2009

(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 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.

Keywords: Distal radius fracture, AO type C3, Plate fixation

Figures and Tables

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.

Table 1

Demographic data

Table 2

Radiographic outcomes

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