Distal radius fracture - outcome with volar locking compression plate

Objective: To evaluate the result of operative fixation of distal radius fracture using volar locked compression plate. Introduction: Distal radius fracture are one of the most common and are one of the most disabling fracture when untreated & when mal-united , as wrist joint contributes a large share in the dexterity and optimum upper limb function. While treating these fracture (operatively/ non-operatively) achieving articular congruity, restoration of adequate range of motion & prevention of wrist arthritis is the prime thing. We studied the results of operative management in distal radius fractures. Patients and Method: Our study consisted of 50 patients with distal radius fractures, between 20-50 years. Medically unfit patients, open fractures, pathological fractures were excluded from our study. Fractures were classified using AO/OTA classification system. After primary splinting, fractures were fixed using volar locking compression plate, at mean 4 days of trauma. Serial follow us were made after discharge to evaluate the patient clinically and the fracture radiologically. We used Gartland & Werley Scoring system for final evaluation of the patients. Results: Our study had 84% of excellent, 14% good and 2% fair results. We had no cases with nonunion or malunion. We had no case with infection. All cases returned to their preoperative occupation except one which had to change his job; included in fair outcome. Conclusion: From our study we conclude that, volar locking compression plate is a valid treatment option for the management of distal radius fracture.