Functional and radiological outcome measures of surgically treated unstable distal radius fractures using a variable angle volar locking compression plate

Abstract

Background: Various treatment modalities have been described to manage unstable distal end radius fractures. The use of variable angle volar locking compression plates is promoted for the management of these difficult fractures. Objectives: Objective was to evaluate the clinical and radiological outcomes in surgically treated unstable distal radius fractures with variable angle volar locking compression plates. Patients and Methods: We reviewed 23 out of 36 unstable distal end radius fractures that were surgically treated with variable angle volar locking compression plates at our institute. The mean age of these patients were 32.82 _ 11.81 years (range 19 to 62) and the mean follow-up duration was 11.04_2.47 months (range 6 to 15). All of them underwent open reduction and internal fixation with a variable angle volar locking compression plate. Radiological parameters measured were radial inclination, length, tilt, and ulnar variance. These were measured at six weeks and at the final follow up. The functional evaluation was by measuring the range of motion at the wrist and the grip strength. To assess the final outcome Gartland and Werley’s demerit scoring system was used.