English

Abstract

BACKGROUND: Fractures of the distal radius are common, open reduction and internal fixation using an interlocking plate system has gained popularity for the treatment of dorsally displaced distal radius fractures. The aim of the study was to assess how adequately distal radial fracture reduction was reproduced and maintained with the pre-contoured distal radius Indian locking plates and to evaluate the functional and radiological results of treating unstable distal radius fractures with the volar locking plate. PATIENTS AND METHODS: It was conducted on 20 patients with distal radius fractures who underwent open reduction, internal fixation using the pre-contoured distal radius Indian locking plates between May 2012 and September 2013 at the our Hospital. The preoperative, intra-operative, and postoperative films were reviewed. The AO classification was recorded. The volar angulation, radial tilt, radial height and step-off in joint incongruity were measured on intra-operative X-rays and compared with final follow-up X-rays. The last recorded range of motion at follow-up and a functional assessment using Gartland and Werley criteria. RESULTS: Radiological review showed bone healing in 20 patients and good articular congruity for all intrarticular fractures with less than 1 mm step-off. Complications were few with two wound infection and one neuropraxia of the superficial radial nerve. Wrist function was excellent in seven (35%) patients, good in 10 (50%) and fair in three (15%). CONCLUSION: The pre-contoured distal radius Indian locking plates with its distal buttressing ability are an effective treatment method in patients with distal radius fractures.