Jae-Cheon Sim; Sung-Sik Ha; Ki-Do Hong; Tae-Ho Kim; Min-Chul Sung

doi:10.12671/jkfs.2015.28.1.46

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Original Article
Treatment of Fractures of the Distal Radius Using Variable-Angle Volar Locking Plate: Jae-Cheon Sim, M.D., Sung-Sik Ha, M.D., Ki-Do Hong, M.D., Tae-Ho Kim, M.D., Min-Chul Sung, M.D.; Journal of the Korean Fracture Society 2015;28(1):46-52.
DOI: https://doi.org/10.12671/jkfs.2015.28.1.46
Published online: January 20, 2015

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

Address reprint requests to: Sung-Sik Ha, M.D. Department of Orthopedic Surgery, Sahmyook Medical Center, 82 Mangu-ro, Dongdaemun-gu, Seoul 130-711, Korea. Tel: 82-2-2210-3324, Fax: 82-2-2212-2673, crash1401@naver.com

• Received: October 6, 2014 • Revised: November 26, 2014 • Accepted: December 5, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study is to evaluate outcome of variable-angle volar locking plate for treatment of distal radius fractures.
Materials and Methods
We retrospectively analyzed the results in 45 cases treated by variable-angle volar locking plate. We evaluated the clinical results according to the Mayo wrist performance scoring system and radiographic results.
Results
All cases had bony union. The mean Mayo wrist performance scoring system was 84.8. Between preoperative and immediate postoperative radiographic measurement, the mean radial length improved from 8.4 to 11.8 mm, radial inclination from 14.2° to 22.4°, volar tilt from -4.5° to 9.6°, and intraarticular step-off from 1.8 to 0.3 mm (p<0.05). Between immediate postoperative and latest follow-up radiographic measurements, the mean loss of radial length measured 0.8 mm, radial inclination 0.4°, and volar tilt 0.9° (p>0.05). All cases showed bone union with no evidence of malunion, nonunion, or metal failure.
Conclusion
Treatment of distal radius fractures using variable angle volar locking plate showed satisfactory outcomes. It is a good option to obtain stable fixation without significant loss of reduction.
Key words: Distal radius fracture, Volar approach, Variable angle volar locking plate

Financial support: None.

Conflict of interest: None.

REFERENCES

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Fig. 1

(A) A 40-year-old female patient presented with a distal radius fracture as AO classification C2. (B) Postoperative radiographs show acceptable reduction with variable angle volar locking compression plate. (C) Postoperative 12-month radiographs show complete bone union.

Table 1

Radiographic Data for Distal Radius Fractures Treated with Variable Angle Volar Locking Compression Plates

Table 2

Clinical Evaluation by Mayo Wrist Score System

Figure & Data

REFERENCES

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Treatment of Fractures of the Distal Radius Using Variable-Angle Volar Locking Plate

J Korean Fract Soc. 2015;28(1):46-52. Published online January 31, 2015

DOI: https://doi.org/10.12671/jkfs.2015.28.1.46

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Treatment of Fractures of the Distal Radius Using Variable-Angle Volar Locking Plate

Fig. 1 (A) A 40-year-old female patient presented with a distal radius fracture as AO classification C2. (B) Postoperative radiographs show acceptable reduction with variable angle volar locking compression plate. (C) Postoperative 12-month radiographs show complete bone union.

Fig. 1

Treatment of Fractures of the Distal Radius Using Variable-Angle Volar Locking Plate

Table 1

Radiographic Data for Distal Radius Fractures Treated with Variable Angle Volar Locking Compression Plates

Table 2

Clinical Evaluation by Mayo Wrist Score System

Table 1 Radiographic Data for Distal Radius Fractures Treated with Variable Angle Volar Locking Compression Plates

Table 2 Clinical Evaluation by Mayo Wrist Score System