Ergebnisse nach palmarer: Plattenosteosynthese mit der vinkelstabilen T-Platte bei 100 distalen Radiusfrakturen: Eine prospektive Studie

In a prospective study a total of 124 unstable fractures of the distal radius were treated with a fixed angle palmarT-plate (Synthes Ltd.,Switzerland).A total of 100 distal radius fractures were evaluated radiologically and clinically after a mean of 10 months after surgery. Loss of correction between postoperative and follow-up radiographs was assessed.The mean loss of the initial volar tilt was 3±4°,the loss of radial inclination 0,4±2°. The radial shortening was 1±1 mm.Flexion and extension of the injured wrist had recovered to an average of 81% of the normal, contralateral side. Radial and ulnar deviation were limited to 84%, pronation and supination reached 91%. Mass grip strength recovered to an average of 74% of the normal side. Using the functional outcome score according to Sarmiento,we obtained 15% excellent, 56% good, 28% fair and 1% poor results.The complication rate was 10%. In conclusion, the operative treatment of unstable extra- and intraarticular fractures ofthe distal radius by fixed angle T-plate-osteosynthesis shows good radiological and functional results.