Abstract
Twenty patients with a mean age of 36 years (16-60 years) and a dorsaly displaced intra-articular fracture of the distal radius were treated by dorsal plating. Seventeen Forte plates and three symmetry plates were used. Eighteen required iliac bone graft. Mobilisation of the wrist was started at one to two weeks. At the latest follow-up, there were a mean radial inclination of 23°, palmar tilt of 9.3°, and ulnar variance of + 1.8 mm. The functional results, according to the point system of Saito were 16 excellent and four good. There was no cases extensor tendon rupture nor reflex sympathetic dystrophy (RSD). In the younger age group, dorsal plate fixation with iliac bone graft for comminuted colles' fractures provides favorable advantages such as more accurate reduction of the articular surface and early rehabilitation.
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