Volar locking plate fixation for unstable distal radius fractures- A prospective study of functional and anatomical outcome

Distal end radius fractures represent approximately one-sixth of all fractures treated in the emergency department. (1,2) Fractures of the distal radius continue to pose a therapeutic challenge. Some of these fractures are caused by severe high energy trauma, resulting in intraarticular involvement and comminution, while some result from trivial trauma especially in the elderly. These fractures often are unstable, are difficult to reduce anatomically, and are associated with a high prevalence of complications like distal radio ulnar joint [DRUJ] instability, malunions, delayed fracture collapse, post-traumatic osteoarthritis. It is also known that extra-articular malalignment can lead to decreased grip strength and endurance as well as limited motion and carpal instability.(