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Clinical analysis of volar locking compression plate for treatment of distal radius comminuted fractures

CAI Ping-hua,CAI Ge,ZENG Ying.Department of General Surgery,Chongyang County People's Hospital,Chongyang 437500,China  
Objective To observe the treatment outcomes of locking compression plate for treating severely comminuted distal radius fracture.Methods 55 cases of severely comminuted distal radius fracture treated with locking compression plate from February 2005 to December 2010 were retrospectively analysed.Age was 32 to 67 years,on average,55 years old.According to AO/ASIF classification,there were 28 cases of type C1 fractures,17 type C2 fractures,and 10 type C3 fractures.All were closed fresh fractures.Results Postoperative follow-up time ranged from 8 to 15 months with an average of 12 months.All cases got the osseous healing,the average healing time was nine weeks.According to Gartland/werley wrist point score: 32 cases were "best",10 cases "better",12 cases "good",but "poor" in 1;the excellent and good rate was 76.4%.Conclusion Locking compression plate for treating severely comminuted distal radius fracture was effective for fracture restoration,and provided constant,strong fixed to maintain the radius height,the parameter of palmar inclination and ulnar inclination.
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