Open Reduction and Internal Fixation of Unstable Fractures of Distal Radius in Adults by Volar T Plate

ABSTRACT

The aim of this study is to evaluate the functional results of internal fixation of unstable fractures of distal radius in adults by volar T plate. This study included 15 patients [4 Males and 11 Females] who attended to the emergency department in the Suez Canal University hospital during the period from November 2003 to April 2005. The average age of patients was 53.3 years [range 33-70 years]. Patients included in this study had an intra-articular fractures or extra-articular fractures with angulation more than 200, shortening [impaction] greater than 5 mm. and metaphyseal comminution. The scoring system according to MissaKian et al., [4] is designed to assess the final result was graded and it depends on clinical and radiological assessment. The overall functional results of all patients are excellent results in eleven patients [73%], good results in three patients [20%], and fair results in one patient [7%]. The overall anatomical results were found to be as follows, twelve patients [80%] achieved excellent results, two patients [13%] had good results and only one patient [7%] had fair results. The overall final scores for all patients were twelve patients [80%] had excellent results, two patients [13%] had good results and only one patient [7%] had fair results. Patient with a fair result had a deformity and swelling of the hand on using it in heavy work. Internal fixation of distal radial fractures by volar T plate using an extended volar approach is a good technique and early motion increases the efficacy of functional results: