The aim of this study was to evaluate the complication rates of volar versus dorsal locking plates and postoperative reduction potential after distal radius fractures.
For this study 285 distal radius fractures (280 patients/59.4 % female) treated with locked plating were retrospectively evaluated. The mean age of the patients was 54.6 years (SD 17.4) and the mean follow-up was 33.2 months (SD 17.2). The palmar approach was used in 225 cases and the dorsal approach in 60 cases (95 % type C fractures).
Adequate reduction was achieved with both approaches, regardless of fracture severity. In the dorsal group, the complications and implant removal rates were significantly higher and the operative time was also longer.
Based on these facts, we advocate the palmar locking plate for the vast majority of fractures. In cases of complex multifragmentary articular fractures where no compromise in reduction is acceptable, and with the biomechanical equality of palmar and dorsal plating remaining unproven, dorsal plating may still be considered.
Therapeutic level IV.
Konstantinidis L, Helwig P, Strohm PC, Hirschmuller A, Kron P, Sudkamp NP (2010) Clinical and radiological outcomes after stabilisation of complex intra-articular fractures of the distal radius with the volar 2.4 mm LCP. Arch Orthop Trauma Surg 130(6):751–757. doi: 10.1007/s00402-009-0990-x PubMedCrossRef
Blythe M, Stoffel K, Jarrett P, Kuster M (2006) Volar versus dorsal locking plates with and without radial styloid locking plates for the fixation of dorsally comminuted distal radius fractures: A biomechanical study in cadavers. J Hand Surg Am 31(10):1587–1593. doi: 10.1016/j.jhsa.2006.09.011 PubMedCrossRef
- Complication rates and reduction potential of palmar versus dorsal locking plate osteosynthesis for the treatment of distal radius fractures
N. P. Haas
- Springer International Publishing
Neu im Fachgebiet Orthopädie und Unfallchirurgie
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