Comparison of radiological and clinical outcomes of internal fixation using two different volar plates for distal radius fractures

Hand Surg. 2014;19(3):357-62. doi: 10.1142/S0218810414500270. Epub 2014 Aug 25.

Abstract

The purpose of this study was to compare the outcomes of volar plating using two different implants for distal radius fractures. Fifty-two patients with AO type C fractures were placed in either of two groups: the AO LDRS group (26 patients) or the Acu-Loc group (26 patients). Radiological parameters including radial length, radial inclination, volar tilt, and intra-articular step-off were significantly improved after surgery. The mean Mayo Wrist Performance Score was 84.6 in the AO LDRS group and 81.1 in the Acu-Loc group. The mean Subjective Wrist Value was 86.7% in the AO LDRS group and 86.3% in the Acu-Loc group. There were no significant differences between the two groups with respect to both radiological and clinical outcomes at the final follow-up evaluation. Volar fixed-angle plating for unstable distal radius fractures had satisfactory radiological and clinical outcomes. The difference of implant design did not influence overall final outcomes.

Keywords: Distal Radius Fracture; Implant; Outcome; Volar Fixed-Angle Plate.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Bone Plates*
  • Bone Screws
  • Equipment Design
  • Female
  • Fracture Fixation, Internal / instrumentation*
  • Humans
  • Male
  • Middle Aged
  • Palmar Plate / surgery*
  • Radiography
  • Radius Fractures / diagnostic imaging
  • Radius Fractures / surgery*
  • Retrospective Studies
  • Treatment Outcome