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Complications Associated with Volar Locking Plate Fixation of Distal Radial Fractures

Alter, Todd H., BS1; Ilyas, Asif M., MD1,a

doi: 10.2106/JBJS.RVW.18.00004
Review Articles
Disclosures

  • * 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.

1Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania

aE-mail address for A.M. Ilyas: asif.ilyas@rothmaninstitute.com

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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