title: Internal fixation of volar-displaced distal radial fractures.
abstract: 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.
authors.affiliation: Department of Orthopaedics, Royal Infirmary of Edinburgh, UK.
authors.forename: J F
authors.initials: JF
authors.lastname: Keating
authors.forename: C M
authors.initials: CM
authors.lastname: Court-Brown
authors.forename: M M
authors.initials: MM
authors.lastname: McQueen
mesh_terms: 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