Clinical analysis of the double column universal volar locking compression plate for the treatment of type C distal ra-dius fractures

WANG Qiang; DONG Wentao; WANG Junhua; PENG Wuxun

doi:10.3969/j.issn.1671-6450.2016.05.013

Abstract：Objective To explore clinical effect of the universal volar double column locking compression plate in the treatment of the C type of distal radius fracture.Methods Collected from January 2012 to December 2014 Guizhou Medical University Affiliated Hospital with AO type C type of fresh closed fracture of the distal radius fractures in 21 patients, 8 cases were male, 13 female patients, they were treated with volar approach universal palm double side column locking compression plate in open reduction and internal fixation, postoperative 1 month, 3 months, 12 months, X-ray or CT scan and three-di-mensional reconstruction check were performed to observe fracture healing and recorded at the time of the last follow-up wrist function score.Results All patients were operated successfully, 3 to 12 months of follow-up for postoperative delayed bone healing occurred in 1 cases, X-ray showed fracture healing time was 3 to 4 months.All patients were followed up for the last X-ray showed articular surface roughness are <2 mm, palm dip average (14.63 ±3.65) degrees, ulnar deviation average (20.68 ±2.97) degrees, the radial styloid process average height was (11.53 ±2.82) mm;function evaluation:excellent in 10 cases (47.6%), good in 6 cases (28.6%),moderate in 5 cases (23.8%);the traumatic arthritis of the wrist in 2 cases, superficial infection in 1 case.Conclusion Universal palm side double column locking compression plate for the treatment of type C distal radius fractures, with relatively simple operation, anatomical reduction rate is high, fewer complications, opera-tion without the need for bone graft, postoperative functional recovery well.