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Original Article
2.4 mm Volar Locking Compression Plate for Treatment of Unstable Distal Radius Fractures
Sung-Jin Kim, M.D., Chul-Hyun Cho, M.D., Ph.D.
Journal of the Korean Fracture Society 2011;24(2):151-155.
DOI: https://doi.org/10.12671/jkfs.2011.24.2.151
Published online: April 13, 2011

Department of Orthopedic Surgery, School of Medicine, Keimyung University, Daegu, Korea.

*Department of Emergency, School of Medicine, Keimyung University, Daegu, Korea.

Address reprint requests to: Chul-Hyun Cho, M.D., Ph.D. Department of Orthopedic Surgery, School of Medicine, Keimyung University, 194, Dongsan-dong, Jung-gu, Daegu 700-712, Korea. Tel: 82-53-250-7729, Fax: 82-53-250-7205, oscho5362@dsmc.or.kr
• Received: November 8, 2010   • Revised: March 1, 2011   • Accepted: March 23, 2011

Copyright © 2011 The Korean Fracture Society

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  • Purpose
    To evaluate outcomes 2.4 mm volar locking compression plate for treatment of unstable distal radius fractures.
  • Materials and Methods
    We retrospectively analyzed the results in 22 cases, which were treated by 2.4 mm volar locking compression 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 score was 85.23. Between preoperative and immediate postoperative radiographic measurements, the mean radial length was improved from 6.04 mm to 9.68 mm, radial inclination from 15.61° to 19.61°, volar tilt from -13.73° to 7.66° and intraarticular step-off from 0.79 mm to 0.33 mm (p<0.05). Between immediate postoperative and latest follow-up radiographic measurements, the mean loss of radial length measured 0.86 mm, radial inclination 0.41°, volar tilt 0.54° and intraarticular step-off 0.02 mm (p>0.05). Postoperative complication included that flexor pollicis longus and 2nd flexor digitorum profundus were ruptured in 1 case.
  • Conclusion
    Treatment of unstable distal radius fractures using a 2.4 mm volar locking compression plate showed satisfactory outcomes. It is a good option to obtain stable fixation without significant loss of reduction.
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Fig. 1
68-year-old woman with unstable distal radius fracture was treated by open reduction and internal fixation with 2.4 mm locking compression plate.
(A) Preoperative radiographs show ustable distal radius fracture with dorsal comminution (AO type A2).
(B) Immediate postoperative radiographs show successful reduction and fixation.
(C) Radiographs at 12 months postoperatively show no significant loss of reduction.
jkfs-24-151-g001.jpg
Table 1
Clinical details of 22 patients with unstable distal radius fracture
jkfs-24-151-i001.jpg
Table 2
Results according to Mayo wrist score system
jkfs-24-151-i002.jpg
Table 3
Results according to the radiographic evaluation
jkfs-24-151-i003.jpg

*S.D.: Standard deviation.

Figure & Data

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    • Treatment of the Communited Distal Radius Fracture Using Volar Locking Plate Fixation with Allogenic Cancellous Bone Graft in the Elderly
      Je Kang Hong, Chang Hyun Shin
      Journal of the Korean Fracture Society.2015; 28(1): 8.     CrossRef

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      2.4 mm Volar Locking Compression Plate for Treatment of Unstable Distal Radius Fractures
      J Korean Fract Soc. 2011;24(2):151-155.   Published online April 30, 2011
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    2.4 mm Volar Locking Compression Plate for Treatment of Unstable Distal Radius Fractures
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    Fig. 1 68-year-old woman with unstable distal radius fracture was treated by open reduction and internal fixation with 2.4 mm locking compression plate. (A) Preoperative radiographs show ustable distal radius fracture with dorsal comminution (AO type A2). (B) Immediate postoperative radiographs show successful reduction and fixation. (C) Radiographs at 12 months postoperatively show no significant loss of reduction.
    2.4 mm Volar Locking Compression Plate for Treatment of Unstable Distal Radius Fractures

    Clinical details of 22 patients with unstable distal radius fracture

    Results according to Mayo wrist score system

    Results according to the radiographic evaluation

    *S.D.: Standard deviation.

    Table 1 Clinical details of 22 patients with unstable distal radius fracture

    Table 2 Results according to Mayo wrist score system

    Table 3 Results according to the radiographic evaluation

    *S.D.: Standard deviation.


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