[Mid-term results after volar plating of distal radius fractures with a newly designed locking plate].

BACKGROUND

The purpose of this retrospective study was to investigate the clinical and radiographic results after operative treatment of dislocated distal radius fractures with a new self-locking volar plate system.

PATIENTS AND METHODS

67 patients (average age 61.4 years) with a dislocated distal radius fracture were treated with the ITS plate system. Clinical and radiographic evaluation was done with a mean follow-up of 9.3 months.

RESULTS

The mean DASH score reached 14 points, the modified Gartland/Werley score was 6.9. There was one loss of reduction on radiographic evaluation, which yielded to a dorsal osteosynthesis. Average postoperative radial inclination was 20.5 degrees (16-29 degrees) and the volar tilt 9.3 degrees (3-15 degrees). One plate had to be removed after three months because of dislocation of a malpositioned screw. There were no cases of infection or tendon ruptures. No patient required autograft bone.

CONCLUSION

This new locking plate system offers an excellent option in the treatment of dislocated distal radius fractures, especially in osteoporotic bone with a dorsal comminution.