Dorsal locked plate fixation in dorsally unstable distal radius fractures

Introduction: Distal radius fractures are common, and internal fixation for operative management of these injuries is widely accepted. Although use the volar approach plate has become more popular, benefits dorsal surgical include potential direct reduction assessment articular alignment, evaluation concomitant intrinsic intercarpal ligament injury, initiation early range motion. For certain fracture patterns, preferred technique. Improvements in implant design, particular low-profile plates, decreased rate complications seen previously with this Purpose study: We trying into evaluate functional outcome distal treated by open [ORIF] precontoured low profile locking plates. Material Methods: performed ORIF plating 40 patients (16 males 24 females) according to our inclusion exclusion criteria. Fractures were classified AO classification. Patients followed up at routine intervals was evaluated Disabilities Arm, Shoulder, Hand questionnaire, Gartland Werley scoring system modified Green O’ Brien score. All plates stainless steel. Radiographic parameters, motion, strength compared uninjured side recorded. Results: According classification system, there 5 type A fractures, 6 B 29 C fractures. The median preoperative angulation 30°, postoperative -4° volar. Twenty-six had an intra-articular step-off or gap, which all corrected neutral procedure. Seven showed positive ulnar variance, time follow-up evaluation. patient age surgery 59 years. period 18 months Compared contralateral side, mean extension flexion 88% 81%, respectively; pronation supination 89% 87%, grip thumb pinch 78% 94%, respectively. questionnaire score 15 points. 38 scores good excellent. No needed have their removed, no extensor tendon rupture reported. 1 lost reduction; a tenolysis pollicis longus tendon. Out patients, 31 excellent results, 7 results fair only poor result, Average clinico-radiological union weeks. follow months. Conclusion: Our study demonstrated that effective method dorsally unstable