English Surgical Treatment of Unstable Distal Radius Fractures With Articular Involvement In Adults
Research Article
DOI:
https://doi.org/10.5281/zenodo.10198779Keywords:
radius distal end fractures, internal fixation, locked anatomical plateAbstract
Objective: Radius distal end fractures are the most common type among whole-body bone fractures, constituting 8 – 15% of all fractures. Within the scope of this study, it was aimed to evaluate the results of anatomical plate fixation methods applied by volar intervention in the surgical treatment of distal radius fractures.
Method: In our study, 41 adult patients with distal radius fractures treated with open reduction and fixation of alternate volar plates with a mean follow-up of 20 months were evaluated retrospectively. Frykman and AO classification systems were used in the evaluation of fractures. Gartland – Werley clinical scoring method, DASH, and Stewart radiological evaluation scale were utilized by measuring the patients with a dynamometer and goniometer.
Results: According to the Gartland and Werley clinical evaluation criteria, 25 (61%) of 41 fractures had excellent, 9 (22%) good, 6 (14.6%) moderate, and 1 (2.4%) poor results. There was no statistical difference between the joint motion angles, grip strengths, and clinical evaluation results in the comparison of the operated patients with the unaffected hand. According to the results of the Stewart Radiological evaluation, 11 (26.8%) of the patients had excellent, 28 (68.3%) good, 1 (2.4%) moderate, and 1 (2.4%) poor results. There was no statistical difference compared to the healthy wrist.
Conclusion: Radius volar plates have provided successful results as they are an effective method in providing anatomical complete reduction and alignment in intra-articular and extra-articular unstable fractures, which are especially problematic in the lower end of the radius, and allow joint movements in the early period thanks to its high fixation strength. Volar intervention, on the other hand, allows reaching the lower end of the radius with minimal surgical trauma and allows a fixation more compatible with the surrounding tissues with low complication rates.
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