Internal fixation of volar-displaced distal radial fractures.
We reviewed a series of 79 distal radial fractures with volar displacement which had been fixed internally using a buttress plate. The fractures were classified using the Frykman and AO systems; 59% were intraarticular. Complications occurred in 40.5% of cases; malunion was most frequent (28%). Functional recovery in patients with malunion was significantly worse than in those with good anatomical restoration (p < 0.001). The AO and Frykman classifications and the degree of restoration of volar tilt were predictive of outcome.
Keating
J F
JF
Department of Orthopaedics, Royal Infirmary of Edinburgh, UK.
Court-Brown
C M
CM
McQueen
M M
MM
D000203:Activities of Daily Living; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods; D017759:Fractures, Malunited / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011885:Radius Fractures / Q000145:classification / Q000503:physiopathology / Q000601:surgery*; D014953:Wrist / Q000503:physiopathology