Seung-Do Cha; Jai-Hyung Park; Hyung-Soo Kim; Soo-Tae Chung; Jeong-Hyun Yoo; Joo-Hak Kim; Jung-Hwan Park

doi:10.12671/jkfs.2012.25.3.197

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Original Article
Comparative Analysis of the Results of Fixed-angle versus Variable-angle Volar Locking Plate for Distal Radius Fracture Fixation: Seung-Do Cha, M.D., Jai-Hyung Park, M.D., Hyung-Soo Kim, M.D., Soo-Tae Chung, M.D., Jeong-Hyun Yoo, M.D., Joo-Hak Kim, M.D., Jung-Hwan Park, M.D.; Journal of the Korean Fracture Society 2012;25(3):197-202.
DOI: https://doi.org/10.12671/jkfs.2012.25.3.197
Published online: July 16, 2012

Department of Orthopedic Surgery, Myong-Ji Hospital, Kwandong University College of Medicine, Goyang, Korea.

Address reprint requests to: Joo-Hak Kim, M.D. Department of Orthopedic Surgery, Myung-Ji Hospital, Kwandong University College of Medicine, 55, Hwasu-ro 14beon-gil, Deogyang-gu, Goyang 412-270, Korea. Tel: 82-31-810-6531, Fax: 82-31-810-6537, hand0123@kd.ac.kr

• Received: October 3, 2011 • Revised: November 2, 2011 • Accepted: March 11, 2012

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Abstract
REFERENCES

Abstract

Purpose
To compare the outcomes of distal radius fractures in a fixed-angle volar locking plate group and variable-angle volar locking plate group.
Materials and Methods
Forty-one patients observed at least 6 months after surgery were included in this retrospective study. We used the range of motion, visual analogue scale score, Disabilities of the Arm, Shoulder and Hand Questionnaire score, and radiologic findings to measure the clinical results.
Results
No differences in clinical results or radiologic results were noted between the fixed-angle volar locking plate group and variable-angle volar locking plate group.
Conclusion
We believe that it is important to minimize complications by using appropriate screws and plates according to the fracture type, though no differences in the surgical outcome were noted between the fixed-angle volar locking plate group and variable-angle volar locking plate group with distal radius fracture.
Key words: Distal radius, Fixed-angle volar locking plate, Variable-angle volar locking plate

REFERENCES

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6. Hastings H 2nd, Leibovic SJ. Indications and techniques of open reduction. Internal fixation of distal radius fractures. Orthop Clin North Am, 1993;24:309-326.
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9. MacDermid JC, Roth JH, Richards RS. Pain and disability reported in the year following a distal radius fracture: a cohort study. BMC Musculoskelet Disord, 2003;4:24.
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13. Orbay JL, Fernandez DL. Volar fixation for dorsally displaced fractures of the distal radius: a preliminary report. J Hand Surg Am, 2002;27:205-215.
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Fig. 1

Anteroposterior and lateral radiographs of the left wrist.

(A) Anteroposterior and lateral radiograph showing type of extra-articular fracture of the distal radius and ulna, AO type A3.

(B) Anteroposterior and lateral radiograph showing reduction and stabilization with variable-angle locking compression plate for the radius and locking compression plate for the ulna.

(C) At post-operative 29 days, reduction loss and metal failure occurred.

(D) Revision with fixed-angle locking compression plate with a long shaft for a radius.

Table 1

Summary of cases

FA-LCP: Fixed-angle locking plate group, VA-LCP: Variable-angle locking plate group, F/U: follow-up.

Table 2

(A) Functional outcomes of AO type A distal radius fracture

FA-LCP: Fixed-angle locking plate group, VA-LCP: Variable-angle locking plate group, DASH: Disabilities of the Arm, Shoulder and Hand Questionnaire, ROM: Range of motion, flex-ext: Flexion-extension, sup-pro: Supination-pronation.

Table 3

Complications

FA-LCP: Fixed-angle locking plate group, VA-LCP: Variable-angle locking plate group.

Table 4

(A) Radiologic outcomes of AO type A distal radius fracture

FA-LCP: Fixed-angle locking plate group, VA-LCP: Variable-angle locking plate group.

Figure & Data

REFERENCES

Citations

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International Orthopaedics.2022; 46(9): 2165. CrossRef
Treatment of Fractures of the Distal Radius Using Variable-Angle Volar Locking Plate
Jae-Cheon Sim, Sung-Sik Ha, Ki-Do Hong, Tae-Ho Kim, Min-Chul Sung
Journal of the Korean Fracture Society.2015; 28(1): 46. CrossRef
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Journal of the Korean Fracture Society.2013; 26(4): 248. CrossRef

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Comparative Analysis of the Results of Fixed-angle versus Variable-angle Volar Locking Plate for Distal Radius Fracture Fixation

J Korean Fract Soc. 2012;25(3):197-202. Published online July 31, 2012

DOI: https://doi.org/10.12671/jkfs.2012.25.3.197

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Comparative Analysis of the Results of Fixed-angle versus Variable-angle Volar Locking Plate for Distal Radius Fracture Fixation

Fig. 1 Anteroposterior and lateral radiographs of the left wrist. (A) Anteroposterior and lateral radiograph showing type of extra-articular fracture of the distal radius and ulna, AO type A3. (B) Anteroposterior and lateral radiograph showing reduction and stabilization with variable-angle locking compression plate for the radius and locking compression plate for the ulna. (C) At post-operative 29 days, reduction loss and metal failure occurred. (D) Revision with fixed-angle locking compression plate with a long shaft for a radius.

Fig. 1

Comparative Analysis of the Results of Fixed-angle versus Variable-angle Volar Locking Plate for Distal Radius Fracture Fixation

Table 1

Summary of cases

FA-LCP: Fixed-angle locking plate group, VA-LCP: Variable-angle locking plate group, F/U: follow-up.

Table 2

(A) Functional outcomes of AO type A distal radius fracture

Table 3

Complications

FA-LCP: Fixed-angle locking plate group, VA-LCP: Variable-angle locking plate group.

Table 4

(A) Radiologic outcomes of AO type A distal radius fracture

FA-LCP: Fixed-angle locking plate group, VA-LCP: Variable-angle locking plate group.

Table 1 Summary of cases

FA-LCP: Fixed-angle locking plate group, VA-LCP: Variable-angle locking plate group, F/U: follow-up.

Table 2 (A) Functional outcomes of AO type A distal radius fracture

Table 3 Complications

FA-LCP: Fixed-angle locking plate group, VA-LCP: Variable-angle locking plate group.

Table 4 (A) Radiologic outcomes of AO type A distal radius fracture

FA-LCP: Fixed-angle locking plate group, VA-LCP: Variable-angle locking plate group.