Volar Approach "L"-shaped Locking Plate for Treatment of Distal Radius Die-punch Fractures
TANG Jin-bing
WANG Qing-wei
WANG Hua-song
FENG Rui-bing
Abstract：Objective To evaluate the clinical effects of "L"-shaped locking plate internal fixation in the treatment of distal radius Die-punch fractures.Methods A total of 21 distal radius Die-punch fractures patients who treated by volar approach "L" locking plate internal fixation were retrospectively analyzed.There were 9 males and 12 females,aged from 24 to 47 (average 31.7),13 cases of right wrist injury,8 cases of left wrist injury.All cases used volar approach after the reduction with the distal radius "L"-shaped locking plate fixation.Results The follow-up lasted for 9-23 months (average 13 months),all cases showed clinical-healing in 2-4 months (average 2.3 months).Postoperative radial inclination was 9-15° (average 11.6°),ulnar inclination was 18-25° (average 22.3°).Wrist palmar flexion,dorsiflexion activity range was 89-138° (average 117.4°),the average ulnar deviation of wrist joint activity was 32°,radial deviation activity was 26°.The visual analogue scale (VAS) of the wrist pain was followed up for 6 months after operation:0 point in 17 cases,1 point in 2 cases,2 points in 1 case,3 points in 1 case.According to the modified Mayo function evaluation criteria of the wrist.:excellent in 13 cases,good in 7,fair in 1 case,and the overall satisfactory were 95.2％.Conclusion Using the volar.approach "L"-shaped locking plate internal fixation can be effective in the treatment of distal radius Die-punch fractures,which can restore the anatomical shape early and firmly.It is convenient for the early functional exercise of the limb,and the postoperative function is well restored.
Keywords：Distal radius fracturesDie-punch fracturesVolar approachLocking plateInternal fixation
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 818-821 )