Chapter 11 - Volar, Dorsal, and/or Radial Plating

Abstract

Distal radius fractures are a common clinical problem for which many treatment options exist. Mostly commonly, unstable, displaced or angulated distal radius fractures are treated with plate osteosynthesis. When considering options for plate fixation of distal radius fractures, the optimal strategy maximizes function while minimizing complications. The purpose of this chapter is to explore the currently existing evidence for different types of plate fixation and assess which plating method is most effective. We conclude that volar plating is an appropriate choice for the treatment of many unstable distal radius fractures. However, it is paramount that the treating surgeon is able to recognize situations in which a volar plate is inadequate for fixation of an unstable distal radius fracture. Combining a volar plate with an additional radial column or dorsal plate, or a dorsal or radial column plate alone, may be necessary to provide adequate stability to the construct.