Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Hand/Wrist
Abstract number: 25232
VOLAR LOCKING PLATING FOR UNSTABLE DISTAL RADIAL FRACTURES
USING THE PRONATOR-SPARING APPROACH: THE DISTRACTION FOR
RESTORATION OF THE RADIAL LENGTH
Gu-Hee JUNG 1 , Young-Soo BYUN 2 , Jae-Do KIM 1 , Jae-Ho JANG 1
1 Kosin University, Gospel Hospital, dept of orthopaedic suregery, Busan (KOREA),
2 Daegu Fatima Hospital, dept of orthopaedic surgery, Dae-Gu (KOREA)
Purpose: To evaluate the functional outcome of patients treated with volar locking
plating for unstable distal radius fractures through pronator-sparing approach and to
measure the restoration of radial length by distractive device.Materials and Methods:
By the review of the records of all patients treated with volar plating for displaced,
unstable distal radius fractures from March 2006 to December 2008, seventeen
fractures that were treated with volar locking plating through pronator-sparing
approach were enrolled and followed mean 18.0 months (range, 12-42 months).
They were restored the radial length by distractive device. We analyzed the
radiologic results and functional results by May wrist score and modified Gartland-
Werley score system.Results: The Radiographs in the immediate postoperative
period showed that the radial length was restored from mean 5.1mm to 12.5mm;
radial inclination, 12°to 21°; and volar tilt, -9°t o 6.4°. At last follow-up, the final radial
height averaged 11mm; radial inclination, 21°; and volar tilt, 6.3°. The average score
on the Mayo wrist score was 91points(range, 75 100 points) and The overall outcome
showed 9 excellent and 8 good results according to the modified Gartland and
Werley scoring system. Conclusion: Our experience indicates that most unstable
distal raidus fracture can be functionally reduced, fixed through a pronator-sparing
approach and the radial length can be restored by the distraction. The combination of
a pronator-spraing approach with the distraction for radial length resulted in no need
for bone graft and no loss of reduction.
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