Treatment of distal radius fracture using the locking compression plate through a volar approach

Objective To investigate the curative effect of locking compression plate(LCP) in the treatment of unstable distal radius fracture. Methods 72 patients with unstable distal radius fracture of B type and C type according to the AO classification were treated with locking compression plate through volar approach during March 2011 to March 2014. Results All the patients were followed up for 6 to 36 months(average 15 months). The excellent and good rate of joint function recovery was 93.4%. The palmar tilt and inclination of catagmatic palms valued by radiology were(9.5±2.1) ° and(20.9±5.9) ° respectively one year after operation. All cases had no radius shortening and the articular surface drops were less than 1 mm. Conclusion LCP through the volar approach has advantages of less harmful damage and minor disturbance to blood supply in the treatment of distal radius fracture of B and C types, which can firmly hold the anatomical form recovered by operation for the early limb function exercise. It makes a well effect.