Abstract

* Volar locked plating is the most frequently utilized method for internal fixation of distal radial fractures.* The overall complication rate for volar plating of distal radial fractures appears to be relatively low compared with other operative fixation methods.* Carpal tunnel syndrome is the most commonly reported complication. However, this may occur after a distal radial fracture regardless of treatment method, with reported rates ranging from 0% to 20% with conservative management and 0% to 14% with volar plating.* Extensor tendon rupture has been reported at rates of 0% to 4% and is the most frequent complication requiring plate removal.* Variable-angle volar locking plates may be associated with fewer implant-related complications as a result of their greater degree of screw placement customization compared with fixed-angle volar locking plates.

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