The Treatment of Elderly Distal Radius Comminuted Fracture with Locking Compression Plate(LCP)

Objective To open reduction and locking compression plate(LCP) within a fixed treatment of distal radius comminuted fracture and evaluate its effect.Methods From March 2005 to June 2008,46 cases of distal radius comminuted fractures were treated with volar LCP fixation.14 cases of bone grafting,12 cases of postoperative volar plaster care support.Results All patients were followed up for 6~30 months(mean 21 months),all fractures healed.The inclination of the distal radius of palm average of 9.7°;ulnar deviation of the average 21.3°;4 cases radial shortening ≥2.0 mm,the rest are 2.0 mm;displacement of the articular surface 1.0 mm.Modified Gartland and Werley scoring system were used to assess the function of the wrist,excellent in 32 cases,good in 11 cases,2 cases and poor in 1;excellent rate was 93.5%.Conclusion Open to reset the palm side LCP fixation is a comminuted fracture of the distal radius,supplemented with bone graft can effectively prevent the articular surface collapse and promote fracture healing.