Review ArticlesComplications Associated with Volar Locking Plate Fixation of Distal Radial FracturesAlter, Todd H. BS1; Ilyas, Asif M. MD1,a Author Information 1Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania aE-mail address for A.M. Ilyas: [email protected] JBJS Reviews: October 2018 - Volume 6 - Issue 10 - p e7 doi: 10.2106/JBJS.RVW.18.00004 Buy Metrics Abstract * Volar locked plating is the most frequently utilized method for internal fixation of distal radial fractures. * The overall complication rate for volar plating of distal radial fractures appears to be relatively low compared with other operative fixation methods. * Carpal tunnel syndrome is the most commonly reported complication. However, this may occur after a distal radial fracture regardless of treatment method, with reported rates ranging from 0% to 20% with conservative management and 0% to 14% with volar plating. * Extensor tendon rupture has been reported at rates of 0% to 4% and is the most frequent complication requiring plate removal. * Variable-angle volar locking plates may be associated with fewer implant-related complications as a result of their greater degree of screw placement customization compared with fixed-angle volar locking plates. Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
