2.4 mm Volar Locking Compression Plate for Treatment of Unstable Distal Radius Fractures

Sung-Jin Kim; Chul-Hyun Cho

doi:10.12671/jkfs.2011.24.2.151

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Kim and Cho: 2.4 mm Volar Locking Compression Plate for Treatment of Unstable Distal Radius Fractures

Original Article

Journal of the Korean Fracture Society

Journal of the Korean Fracture Society 2011; 24(2): 151-155.

Published online: 13 April 2011

DOI: https://doi.org/10.12671/jkfs.2011.24.2.151

2.4 mm Volar Locking Compression Plate for Treatment of Unstable Distal Radius Fractures

Sung-Jin Kim, M.D.^*, Chul-Hyun Cho, M.D., Ph.D.

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

^*Department of Emergency, School of Medicine, Keimyung University, Daegu, Korea.

Address reprint requests to: Chul-Hyun Cho, M.D., Ph.D. Department of Orthopedic Surgery, School of Medicine, Keimyung University, 194, Dongsan-dong, Jung-gu, Daegu 700-712, Korea. Tel: 82-53-250-7729, Fax: 82-53-250-7205, oscho5362@dsmc.or.kr

Received 8 November 2010 Revised 1 March 2011 Accepted 23 March 2011

(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 2.4 mm volar locking compression plate for treatment of unstable distal radius fractures.

Materials and Methods

We retrospectively analyzed the results in 22 cases, which were treated by 2.4 mm volar locking compression plate. We evaluated the clinical results according to the Mayo wrist performance scoring system and radiographic results.

Results

All cases had bony union. The mean Mayo wrist performance score was 85.23. Between preoperative and immediate postoperative radiographic measurements, the mean radial length was improved from 6.04 mm to 9.68 mm, radial inclination from 15.61° to 19.61°, volar tilt from -13.73° to 7.66° and intraarticular step-off from 0.79 mm to 0.33 mm (p<0.05). Between immediate postoperative and latest follow-up radiographic measurements, the mean loss of radial length measured 0.86 mm, radial inclination 0.41°, volar tilt 0.54° and intraarticular step-off 0.02 mm (p>0.05). Postoperative complication included that flexor pollicis longus and 2nd flexor digitorum profundus were ruptured in 1 case.

Conclusion

Treatment of unstable distal radius fractures using a 2.4 mm volar locking compression plate showed satisfactory outcomes. It is a good option to obtain stable fixation without significant loss of reduction.

Keywords: Distal radius, Unstable fracture, 2.4 mm locking compression plate, Volar approach

Figures and Tables

Fig. 1

68-year-old woman with unstable distal radius fracture was treated by open reduction and internal fixation with 2.4 mm locking compression plate.

(A) Preoperative radiographs show ustable distal radius fracture with dorsal comminution (AO type A2).

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

(C) Radiographs at 12 months postoperatively show no significant loss of reduction.

Table 1

Clinical details of 22 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.

References

1. Arora R, Lutz M, Fritz D, Zimmermann R, Oberladstätter J, Gabl M. Palmar locking plate for treatment of unstable dorsal dislocated distal radius fractures. Arch Orthop Trauma Surg. 2005. 125:399–404.

2. Cho CH, Bae KC, Kwon DH. Volar T-locking compression plate for treatment of unstable distal radius fractures. J Korean Fract Soc. 2008. 21:220–224.

3. Cooney WP, Bussey R, Dobyns JH, Linscheid RL. Difficult wrist fractures. Perilunate fracture-dislocations of the wrist. Clin Orthop Relat Res. 1987. 214:136–147.

4. Cooney WP 3rd, Linscheid RL, Dobyns JH. External pin fixation for unstable Colles' fractures. J Bone Joint Surg Am. 1979. 61:840–845.

5. Herron M, Faraj A, Craigen MA. Dorsal plating for displaced intra-articular fractures of the distal radius. Injury. 2003. 34:497–502.

6. Jupiter JB, Marent-Huber M. LCP Study Group. Operative management of distal radial fractures with 2.4-millimeter locking plates: a multicenter prospective case series. Surgical technique. J Bone Joint Surg Am. 2010. 92:Suppl 1. (Pt 1):96–106.

7. Knirk JL, Jupiter JB. Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg Am. 1986. 68:647–659.

8. Koval KJ, Hoehl JJ, Kummer FJ, Simon JA. Distal femoral fixation: a biomechanical comparison of the standard condylar buttress plate, a locked buttress plate, and the 95-degree blade plate. J Orthop Trauma. 1997. 11:521–524.

9. Musgrave DS, Idler RS. Volar fixation of dorsally displaced distal radius fractures using the 2.4-mm locking compression plates. J Hand Surg Am. 2005. 30:743–749.

10. Park KC, Lee CH. Short term results of operative management with 2.4 mm volar locking compression plates in distal radius fractures. J Korean Fract Soc. 2009. 22:264–269.

11. Ring D, Prommersberger K, Jupiter JB. Combined dorsal and volar plate fixation of complex fractures of the radius. J Bone Joint Surg Am. 2004. 86-A:1646–1652.

12. Sim JC, Chung NS, Hong KD, Ha SS, Kang JH. Treatment of fractures of the distal radius using locking compression plate. J Korean Fract Soc. 2005. 18:100–104.

13. Souer JS, Ring D, Matschke S, Audige L, Maren-Hubert M, Jupiter J. Comparison of functional outcome after volar plate fixation with 2.4-mm titanium versus 3.5-mm stainless-steel plate for extra-articular fracture of distal radius. J Hand Surg Am. 2010. 35:398–405.

14. Strohm PC, Müller CA, Helwig P, Mohr B, Südkamp NP. Is the locking, 3.5 mm Palmar T-Plate the implant of choice for displaced distal radius fractures? Z Orthop Unfall. 2007. 145:331–337.

15. Tejwani NC, Wolinsky P. The changing face of orthopaedic trauma: locked plating and minimally invasive techniques. Instr Course Lect. 2008. 57:3–9.

16. Trumble TE, Culp R, Hanel DP, Geissler WB, Berger RA. Intra- articular fractures of the distal aspect of the radius. Instr Course Lect. 1999. 48:465–480.

17. Zenke Y, Sakai A, Oshige T, Moritani S, Nakamura T. The effect of an associated ulnar styloid fracture on the outcome after fixation of a fracture of the distal radius. J Bone Joint Surg Br. 2009. 91:102–107.

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