Abstract
Objective To investigate the clinical results of the application of volar locking compression plate combined with artificial bone grafting in the treatment of comminuted distal radial fractures.Methods From January 2011 to August 2013,45 cases of type A3,type C2 and type C3 comminuted distal radial fractures were treated with volar locking compression plate combined with artificial bone grafting.All the cases were closed fractures with radial shortening or articular surface collapse.Volar tilt angle,radial inclination angle,axial shortening of the radius and extent of joint surface step deformity were measured both pre and post operatively.Results All the patients were follow-up for 6 to 18 months,with an average of 12 months.Bone union was noted in all the cases.There was no adverse reaction to the artificial bone grafts.Radiographic parameters were significantly improved.The clinical results were evaluated using the Gartland-Werley wrist score and rated as excellent and good in 94.4％ of type A3 fractures,87.5％ of type C2 fractures,and 81.8％ of type C3 fractures.Conclusion Applying volar locking compression plate combined with artificial bone grafting can achieve rigid fixation and restore radial length in treating type A3,C2 and C3 comminuted distal radial fractures. Key words: Radius fractures; Fracture fixation, internal; Artificial bone
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