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J Am Acad Orthop Surg, Vol 17, No 6, June 2009, 369-377.
© 2009 the American Academy of Orthopaedic Surgeons
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Complications of Volar Plate Fixation for Managing Distal Radius Fractures

Lisa M. Berglund, MD and Terry M. Messer, MD

Dr. Berglund is Resident, Department of Orthopaedics, University of North Carolina at Chapel Hill, Chapel Hill, NC. Dr. Messer is Clinical Assistant Professor, Department of Orthopaedics, University of North Carolina School of Medicine, Raleigh Hand Center, Raleigh, NC.

Neither of the following authors nor a member of their immediate families has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Berglund and Dr. Messer.

Reprint requests: Dr. Berglund, Department of Orthopaedics, University of North Carolina at Chapel Hill, 101 Manning Drive, Chapel Hill, NC 27514.

Volar locking plate fixation via open reduction and internal fixation is an increasingly accepted method for managing displaced distal radius fractures. Volar plating offers biomechanically stable fixation, allows early rehabilitation, and enables fixation of comminuted or osteopenic bone. The literature reporting complications of volar plate fixation is limited primarily to case reports and small case series. The surgeon must be mindful of potential soft-tissue, neurovascular, and osseous complications, such as extensor tendon and flexor tendon injury, flexor pollicis rupture, carpal tunnel syndrome, complex regional pain syndrome, and loss of reduction, as well as hardware failure. Increased awareness of potential complications may lead to more prompt recognition and treatment when they do arise.






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Copyright © 2009 by the American Academy of Orthopaedic Surgeons.