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Journal of Hand Surgery (European Volume)
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Articles

Palmar Fixation of Dorsally Displaced Distal Radius Fractures Using Locking Plates with Smartlock Locking Screws

T. C. WONG
C. C. YEUNG
Y. CHIU
S. H. YEUNG
F. K. IP

From the Department of Orthopaedics and Traumatology, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China

Correspondence: Dr Tak-Chuen Wong MBChB, MRCSEd, FHKCOS, FHKAM (Orthopaedic Surgery), MMedSc, Department of Orthopaedics and Traumatology, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong SAR, China. Tel.: +8522595 6415; fax: +8522595 6414. E-mail:tedwong2{at}i-cable.com.

We performed a prospective cohort study on a consecutive series of 35 unstable, dorsally displaced distal radius fractures, which were treated with palmar locking plates and SmartLock locking screws. There were 17 men and 18 women with a mean age of 44 years who were reviewed at a mean follow-up of 10 months. All the fractures healed at a mean time of 7 weeks. Radiographs did not show any change in alignment from the initial postoperative period until fracture union. The average Mayo wrist score was 90 after fracture union. One patient had an early loss of fracture reduction and one patient developed complex regional pain syndrome. There was no difference in the quality of life before and after surgery. Palmar plate fixation using SmartLock locking screws is effective and safe in stabilising unstable dorsally displaced distal radius fracture and produces good radiological and functional outcomes.

Key Words: distal radius fracture • volar plating • locking screw

This version was published on April 1, 2009

Journal of Hand Surgery (European Volume), Vol. 34, No. 2, 173-178 (2009)
DOI: 10.1177/1753193408090129
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