[Mid-term results after volar plating of distal radius fractures with a newly designed locking plate].

BACKGROUND: The purpose of this retrospective study was to investigate the clinical and radiographic results after operative treatment of dislocated distal radius fractures with a new self-locking volar plate system.

PATIENTS AND METHODS: 67 patients (average age 61.4 years) with a dislocated distal radius fracture were treated with the ITS plate system. Clinical and radiographic evaluation was done with a mean follow-up of 9.3 months.

RESULTS: The mean DASH score reached 14 points, the modified Gartland/Werley score was 6.9. There was one loss of reduction on radiographic evaluation, which yielded to a dorsal osteosynthesis. Average postoperative radial inclination was 20.5 degrees (16-29 degrees) and the volar tilt 9.3 degrees (3-15 degrees). One plate had to be removed after three months because of dislocation of a malpositioned screw. There were no cases of infection or tendon ruptures. No patient required autograft bone.

CONCLUSION: This new locking plate system offers an excellent option in the treatment of dislocated distal radius fractures, especially in osteoporotic bone with a dorsal comminution.