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J Am Acad Orthop Surg, Vol 13, No 1, January/February 2005, 28-36.
© 2005 the American Academy of Orthopaedic Surgeons
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Volar Fixed-Angle Plating of the Distal Radius

Dean W. Smith, MD and Mark H. Henry, MD

Dr. Smith is Clinical Instructor, Department of Orthopaedics, University of Texas School of Medicine, Houston, TX. Dr. Henry is Clinical Associate Professor, Department of Orthopaedics, University of Texas School of Medicine.

Reprint requests: Dr. Smith, Suite 580, 1200 Binz Street, Houston, TX 77004.

The treatment of unstable distal radius fractures continues to improve as better methods of skeletal fixation and soft-tissue management are developed. Apart from closed reduction and percutaneous pinning of simpler fracture patterns, the three main methods of management are external fixation, dorsal plating, and volar fixed-angle plating. Specific advantages of volar fixed-angle plating include stable fixed-angle support that permits early active wrist rehabilitation, direct fracture reduction, and fewer soft-tissue and tendon problems. Volar fixed-angle plating also avoids the complications often associated with external fixation and dorsal plating. Biomechanical data indicate that, when loaded to failure, volar fixed-angle plates have significant strength advantages over dorsal plating. Volar fixed-angle plating is advantageous in elderly osteopenic patients and for high-energy comminuted fractures and malunions requiring osteotomy.




This article has been cited by other articles:


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L. M. Berglund and T. M. Messer
Complications of Volar Plate Fixation for Managing Distal Radius Fractures
J. Am. Acad. Ortho. Surg., June 1, 2009; 17(6): 369 - 377.
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G. J. Haidukewych and W. Ricci
Locked Plating in Orthopaedic Trauma: A Clinical Update
J. Am. Acad. Ortho. Surg., June 1, 2008; 16(6): 347 - 355.
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T. Bhattacharyya and A. D. Wadgaonkar
Inadvertent Retention of Angled Drill Guides After Volar Locking Plate Fixation of Distal Radial Fractures. A Report of Three Cases
J. Bone Joint Surg. Am., February 1, 2008; 90(2): 401 - 403.
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 J Am Acad Orthop SurgHome page
B. D. Bushnell and D. K. Bynum
Malunion of the Distal Radius
J. Am. Acad. Ortho. Surg., January 1, 2007; 15(1): 27 - 40.
[Abstract] [Full Text] [PDF]


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