INTERNAL-FIXATION OF VOLAR-DISPLACED DISTAL RADIAL FRACTURES

We reviewed a series of 79 distal radial fractures with volar displace ment which had been fixed internally using a buttress plate. The fract ures were classified using the Frykman and AO systems; 59% were intraa rticular. Complications occurred in 40.5% of cases; malunion was most frequent (28%). Functional recovery in patients with malunion was sign ificantly worse than in those with good anatomical restoration (p < 0. 001). The AO and Frykman classifications and the degree of restoration of volar tilt were predictive of outcome.