title: [The volar locking plate for extension fractures of the distal radius].
abstract: OBJECTIVE
  Bony healing of dislocated distal radius fractures after open reduction and internal stabilization by locking screws/pins using palmar approach.
  
  
  METHODS
  Extraarticular distal radius fractures type A2/A3, simple extra- and intraarticular fractures type C1 according to the AO classification, provided a palmar approach is possible.
  
  
  METHODS
  Forearm soft tissue lesions/infections. As a single procedure if a volar approach not possible.
  
  
  METHODS
  Palmar approach to the distal radius and fracture. Open reduction. Palmar fixation of the plate to radial shaft with single screw. After fluoroscopy, distal fragments fixed using locking screws.
  
  
  METHODS
  Below-the-elbow cast for 2 weeks. Early exercise of thumb and fingers, wrist mobilization after cast removal. Complete healing after 6-8 weeks.
  
  
  RESULTS
  Ten patients averaged 100% range of motion of the unaffected side after 43±21 months. No complications observed. DASH score averaged 12±16 points; Krimmer wrist score was excellent in 7, good in 2, and fair in one.
authors.affiliation: Klinik für Handchirurgie Bad Neustadt an der Saale, Salzburger Leite 1, 97616, Bad Neustadt an der Saale, Deutschland. t.pillukat@handchirurgie.de.
authors.forename: T
authors.initials: T
authors.lastname: Pillukat
authors.affiliation: Klinik für Fußchirurgie Bad Neustadt an der Saale, Bad Neustadt an der Saale, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Fuhrmann
authors.affiliation: Klinik für Unfall- und Handchirurgie, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Windolf
authors.affiliation: Klinik für Handchirurgie Bad Neustadt an der Saale, Salzburger Leite 1, 97616, Bad Neustadt an der Saale, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: van Schoonhoven
mesh_terms: D001860:Bone Plates; D001863:Bone Screws; D019317:Evidence-Based Medicine; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D008297:Male; D008875:Middle Aged; D011885:Radius Fractures / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome; D014954:Wrist Injuries / Q000175:diagnosis / Q000601:surgery*
keywords: Bone screws; Fracture fixation; Radius fracture; Range of motion; Surgical technique