T-shape locking compression plate for distal radial fracture in aged patients

Objective:To evaluate the clinical effects of T-shape locking compression plate(T-LCP)for distal radial fracture in aged patients(with osteoporosis)and to discuss the necessity of open reduction and internal fixation for these patients.Methods:From January 2003 to March 2006,twenty-three patients with distal radial fracture were treated with fixation of T-LCP,7 were female and 16 were male with an average of 66 years old(range from 60 to 78).In this group,all the fractures were more severe than type B according to AO classification.The clinical effects were analyzed according to function of wrist joint and X-ray imaging after operation.Results:Twenty-one cases were followed up from 6 to 18 months with an average of 9 months.Bone healing occurred in all the cases.The mean of angle of inclination in the palmar and ulnaris were respectively 4.5°,and 19.2°.The length of radial malleolus was longer than ulnar malleolus(more than 0.85 cm).According to criteria of joint functions,11 cases obtained excellent result,7 good,3 fair,the rate of excellent and good was 85.7%(18/21).Conclusion:Operation has necessity for distal radial fracture(type B and C according to AO classification)in aged patients(with osteoporosis),T-LCP is one of effective method,which has such advantages as reliable fixation,minor complication and early recovery for joint funation.