抄録
We reported about fixation with volar locking plate (VLP) in several cases of unstable distal radius fractures with satisfying surgical results. We evaluated 10 cases (3 men, 7 women, mean age 62) for perioperative aspects with a focus on postoperative adaptation to the treatment. All cases experienced bone fractures between April and June 2006. Periods from injury to operation stretched from 3-97 days. Examined bone fractures by AO-classification were : A 2 : 4 wrist, A 3 : 1 wrist, B 2 : 2 wrists, B 3 : 1 wrist, C 2 : 1 wrist, C 3 : 1 wrist. All cases received treatment with VLP. External fixations were applied for 12-31 days. Results showed that VLP enabled early exercise, subchondral support and strong inner fixation. Advantages of this technique are that the treatment can be positively applied to inner and outer joint bone fractures, with a wide adaptation range.