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

Ki-Chul Park; Chang-Hun Lee

doi:10.12671/jkfs.2009.22.4.264

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

Original Article

Journal of the Korean Fracture Society 2009; 22(4): 264-269.

Published online: 30 October 2009

DOI: https://doi.org/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

Ki-Chul Park, M.D., Chang-Hun Lee, M.D.

Department of Orthopaedic Surgery, Guri Hospital, Hanyang University College of Medicine, Guri, Korea.

^*Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul, Korea.

Address reprint requests to: Ki-Chul Park, M.D. Department of Orthopaedic Surgery, Guri Hospital, Hanyang University College of Medicine, 249-1, Gyomun-dong, Guri 471-701, Korea. Tel: 82-31-560-2316, Fax: 82-31-557-8781, kcpark@hanyang.ac.kr

Received 18 May 2009 Revised 19 August 2009 Accepted 18 September 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 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, 0.2° of radial inclination, 0.6° 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.

Keywords: Distal radius fracture, 2.4 mm volar locking compression plate

Figures and Tables

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.

Table 1

Demographic data

Table 2

Radiographic data for the distal radius fractures treated with 2.4 mm volar locking compression plate

^*p-value was calculated with radiologic factors between after surgery and at final follow up.

Table 3

Comparison of cases with and without ulnar styloid process fracture at final follow up

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