Volar locking compression plate fixation in treatment of unstable distal radius fractures in the elders

Abstract

Objective To study the clinical effect of locking compression plate fixation in treatment of the elders with unstable fractures of the distal radius. Methods 17 cases with unstable distal radius fractures were treated by volar locking compression plate. The function of the carpal joints and the bone healing conditions were evaluated after operations. Results All cases were followed-up for 7 to 16 months ( mean 12. 6 months). Union was obtained in all the patients after 11.4 weeks. The clinical outcomes were evaluated according to modified X-rays and wrist assessment. 12 cases were graded as excellent and 4 as good. 1 case were graded as poor. The overall satisfactory rate was 94. 1％. Conclusion The unstable distal radial fractures could be effectively treated with open reduction and LCP fixation through volar approach. Key words: Fractures; Radius; Locking compression plate(LCP) ; Frature fixation,internal