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HOME > J Musculoskelet Trauma > Volume 24(2); 2011 > Article
Original Article
Comparison of Operative Management in Distal Radius Fractures Using 3.5 mm Versus 2.4 mm Volar Locking Compression Plates
Sung-Sik Ha, M.D., Tae-Ho Kim, M.D., Ki-Do Hong, M.D., Jae-Chun Sim, M.D., Jong Hyun Kim, M.D.
Journal of the Korean Fracture Society 2011;24(2):156-162.
DOI: https://doi.org/10.12671/jkfs.2011.24.2.156
Published online: April 13, 2011

Department of Orthopedic Surgery, Sahmyook Medical Center, Seoul, Korea.

Address reprint requests to: Tae-Ho Kim, M.D. Department of Orthopedic Surgery, Sahmyook Medical Center, 29-1, Hwigyoung 2-dong Dongdaemun-gu, Seoul 130-711, Korea. Tel: 82-2-2210-3581, Fax: 82-2-2217-1897, oskimth@naver.com
• Received: August 18, 2010   • Revised: November 9, 2010   • Accepted: February 16, 2011

Copyright © 2011 The Korean Fracture Society

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  • Purpose
    To evaluate clinical and radiological results using 3.5 mm & 2.4 mm volar locking compression plate (LCP) in distal radius fractures.
  • Materials and Methods
    This study reviewed the results of 115 cases of distal radius fractures treated with 3.5 mm volar LCP (73 cases) & 2.4 mm volar LCP (42 cases) from September 2003 to June 2009. The radiographic results were evaluated by radiographic assessment, and the clinical results were evaluated by Knirk and Jupiter's criteria, Modified Mayo wrist scoring system and DASH score.
  • Results
    Radiological evaluation of the radial length, radial inclination, volar tilt and intraarticular step off were improved both 3.5 mm volar LCP and 2.4 mm volar LCP. Nine cases of arthritis occured in 3.5 mm volar LCP and 7 cases in 2.4 mm volar by using the Knirk and Jupiter's criteria. The mean score evaluated by Modified Mayo was 86.7 in 3.5 mm volar LCP and 84.8 in 2.4 mm volar LCP. DASH score was 11.2 point in 3.5 mm volar LCP, 10.9 point in 2.4 mm volar LCP. All cases showed bone union showing no evidence of malunion, nounion, nor metal failure.
  • Conclusion
    Distal radius fractures treated with 3.5 mm volar LCP and 2.4 mm volar LCP show satisfying radiological and clinical outcome.
  • Key words: Radius, Distal radius fracture, Volar locking compression plate
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Fig. 1
(A) Photograph shows 3.5 mm LCP distal radius plate.
(B) Photograph shows 2.4 mm locking distal radius system.
jkfs-24-156-g001.jpg
Fig. 2
(A) 52 year old female patient presented with distal radius fracture as AO classification C1.
(B) Postoperative radiographs show acceptable reduction with 3.5 mm LCP distal radius plate.
(C) Postoperative 17 months radiographs show complete bone union.
jkfs-24-156-g002.jpg
Fig. 3
(A) 64 year old male patient presented with distal radius fracture as AO classification C2.
(B) Postoperative radiographs show volar fixation using 2.4 mm locking distal radius system.
(C) Postoperative 12 months radiographs show locking compression screws are involved on the artricular surface. The patient had limitation in range of motion as flexion, extension because of wrist pain.
jkfs-24-156-g003.jpg
Table 1
Demographic data
jkfs-24-156-i001.jpg
Table 2
Results according to the radiographic evlauation
jkfs-24-156-i002.jpg
Table 3
Radiologic evaluation by fracture type treated with 3.5 mm LCP distal radius plate
jkfs-24-156-i003.jpg

Group A: Fracture type A2,3, B2, C1 (46 cases), Group B: Fracture type C2,3 (27 cases).

Table 4
Radiologic evaluation by fracture type treated with 2.4 mm locking distal radius system
jkfs-24-156-i004.jpg

Group A: Fracture type A2,3, B2, C1 (46 cases), Group B: Fracture type C2,3 (27 cases).

Table 5
Arthritic grading system of Knirk and Jupiter and results of this study
jkfs-24-156-i005.jpg
Table 6
Clinical evaluation by Mayo wrist score system
jkfs-24-156-i006.jpg

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  
    • 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
    • Functional Outcomes of Percutaneous K-Wire Fixation for Distal Radius Fractures with or without Osteoporosis
      Ki-Chan An, Gyu-Min Kong, Jang-Seok Choi, Hi-Chul Gwak, Joo-Yong Kim, Sung-Yub Jin
      Journal of the Korean Fracture Society.2013; 26(4): 248.     CrossRef

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      Comparison of Operative Management in Distal Radius Fractures Using 3.5 mm Versus 2.4 mm Volar Locking Compression Plates
      J Korean Fract Soc. 2011;24(2):156-162.   Published online April 30, 2011
      DOI: https://doi.org/10.12671/jkfs.2011.24.2.156
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    Comparison of Operative Management in Distal Radius Fractures Using 3.5 mm Versus 2.4 mm Volar Locking Compression Plates
    Image Image Image
    Fig. 1 (A) Photograph shows 3.5 mm LCP distal radius plate. (B) Photograph shows 2.4 mm locking distal radius system.
    Fig. 2 (A) 52 year old female patient presented with distal radius fracture as AO classification C1. (B) Postoperative radiographs show acceptable reduction with 3.5 mm LCP distal radius plate. (C) Postoperative 17 months radiographs show complete bone union.
    Fig. 3 (A) 64 year old male patient presented with distal radius fracture as AO classification C2. (B) Postoperative radiographs show volar fixation using 2.4 mm locking distal radius system. (C) Postoperative 12 months radiographs show locking compression screws are involved on the artricular surface. The patient had limitation in range of motion as flexion, extension because of wrist pain.

    Fig. 1

    Fig. 2

    Fig. 3

    Comparison of Operative Management in Distal Radius Fractures Using 3.5 mm Versus 2.4 mm Volar Locking Compression Plates

    Demographic data

    Results according to the radiographic evlauation

    Radiologic evaluation by fracture type treated with 3.5 mm LCP distal radius plate

    Group A: Fracture type A2,3, B2, C1 (46 cases), Group B: Fracture type C2,3 (27 cases).

    Radiologic evaluation by fracture type treated with 2.4 mm locking distal radius system

    Group A: Fracture type A2,3, B2, C1 (46 cases), Group B: Fracture type C2,3 (27 cases).

    Arthritic grading system of Knirk and Jupiter and results of this study

    Clinical evaluation by Mayo wrist score system
    Table 1 Demographic data

    Table 2 Results according to the radiographic evlauation

    Table 3 Radiologic evaluation by fracture type treated with 3.5 mm LCP distal radius plate

    Group A: Fracture type A2,3, B2, C1 (46 cases), Group B: Fracture type C2,3 (27 cases).

    Table 4 Radiologic evaluation by fracture type treated with 2.4 mm locking distal radius system

    Group A: Fracture type A2,3, B2, C1 (46 cases), Group B: Fracture type C2,3 (27 cases).

    Table 5 Arthritic grading system of Knirk and Jupiter and results of this study

    Table 6 Clinical evaluation by Mayo wrist score system

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

    Table 6

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