Volar plating for displaced intraarticular fractures of the distal radius in an elderly population

Background Intraarticular fractures represent approximately 60% of all distal radial fractures; their treatment remains controversial. Open reduction and internal fixation with fixed-angle volar locking plates appears as a new and effective way for treating these fractures. Methods Twenty-six consecutive patients older than 50 years with displaced intraarticular fractures of the distal radius (AO/ASIF type C) were treated with volar plating. Prospectively acquired data were reviewed retrospectively. The median follow-up period was 33 weeks (11 - 64 wk). Results At final follow-up, mean radial inclination was 23.4°, mean radial length exceeding the ulnar length 0.45mm, and mean palmar tilt 4.5°. One patient had complaints possibly caused by the plate, resulting in plate removal. One patient had complex regional pain syndrome. The mean pain score (VAS) was 3 after follow-up (1 - 7). Modified Gartland and Werley scores were excellent in 14 patients, good in 11 patients, and fair in one patient. Conclusions Treatment of intraarticular distal radial fractures with fixed-angle volar plating in an elderly population prevented secondary loss of reduction and resulted in rapid wrist rehabilitation. 1940-7041 r 2013 Wolters Kluwer Health.

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