Clinicoradiological Outcome of Variable Angle Volar Locking Plate in the Management of Distal Radius Fractures.

Abstract

Introduction: Treatment of distal radius fractures (DRFs) has evolved throughout time. The current management practices typically entail the use of locking compression plates. The inclusion of locking plates with variable angle options made it easier for surgeons to handle comminuted fracture fragments. This study examines the functional and radiological results of DRFs treated using a variable angle locking compression plate.

Materials and methods: Between July 2022 and May 2024, a cohort of 25 patients with DRFs presented to the Department of Orthopaedics and was preoperatively examined before undergoing surgery with variable angle locking plates. They were followed up on a regular basis for a year after surgery, with the clinical and radiological outcomes assessed using the Modified Mayo Wrist Score.

Results: Only two fractures failed to unite within a period of 4 months. The average range of motion was slightly restricted in comparison to the normal wrist. The mean grip strength after 1 year was 17.84 ± 6.05 kg. Merely 12% of individuals developed complications that were successfully addressed with conservative management. Approximately 72% (18 patients) of the patients achieved excellent results, whereas 24% (6 patients) had good outcomes, and approximately 4% (1 patient) had fair outcomes. The mean MMWS score at the end of 1 year was 91 ± 6.61.

Conclusion: The utilization of variable-angle locking plates has been associated with excellent to good functional outcomes with very few complications.