Ergebnisse der palmaren winkelstabilen Plattenosteosynthese am distalen Radius

Abstract

Fixed-angle palmar plating for fractures of the distal radius is being used more frequently, although valid data are not yet available. In this paper we present the results following treatment of 119 patients with distal radius fractures. In two-thirds of the cases, type C fractures were present. Ninety-nine patients were treated with fixed-angle plates from a palmar approach. Patients were evaluated an average of 12 (range 10–15) weeks postoperatively, both functionally and radiologically, and were assessed using the Martini score. Good or very good results were found in 69% of cases. Postoperative complications were observed in 9% of cases. As a result of our study, we advocate a more precise and differentiated indication for palmar locking plate osteosynthesis for distal radial fractures. A3 fractures as well as C1 and C2 fractures are good indications for fixed-angle plates. More complicated fractures, such as those with dorsoulnar fragments, intraarticular depression fractures with no cortical lesions, and fractures with concomitant injuries of the carpal ligaments, require other treatment strategies.