Volar fixation of distal radial fracture using compression plate: clinical and radiographic evaluation of 20 patients

Abstract

Distal radius fractures can be treated with different methods, depending on the type of fracture and, on our experience, according to the Fernandez algorithm. The report presents our experience treating distal radius fractures using a volar plate. We reviewed retrospectively 20 patients treated, during a period of 3 years (May 2008-May 2011) at our center, for unstable distal radius fractures using a volar plate. All patients were reviewed by thorough clinical examination and standard radiographs of the operated wrist. For the clinical evaluation, we used Mayo Wrist Score and DASH Score. At review, the injured wrist had recovered an average range of motion in flexion-extension of 120°, and the grip strength was an average of 50% compared to contralateral side. Overall, results at Mayo Wrist Score were good to excellent in 30%, satisfactory in 55%, and poor in 15%; results at DASH Score were good to excellent in 90%, satisfactory in 10% with no poor case. The majority of patients were fully satisfied with the results (65%), 20% of patients were partially satisfied, 5% were poorly satisfied, and 10% were not satisfied. At review, 4 patients reported the presence of transient paresthesia localized to the first three rays of the hand. At radiographic evaluation, the majority of patients had a radial tilt between 20 and 23, ulnar variance between 0 and 3, and dorsal tilt between 9 and 14. The treatment of unstable distal radius fractures with a volar plate provided stable internal fixation and allowed early function and was associated with a low complication rate.