Authors: Soo Hong Han In Tae Hong Woo Hyun Kim
Publish Date: 2014/02/25
Volume: 24, Issue: 8, Pages: 1407-1413
Abstract
The advent of locking compression plate LCP has provided convenient and secure fixation of distal ulna fractures This study was performed to evaluate the functional and clinical outcomes following LCP distal ulna plate fixation of irreducible or unstable distal ulna fractures with concomitant distal radius fracturesRetrospective review of 17 patients who had been treated with LCP distal ulna plates for distal ulna fractures was performed The average age of the patients was 589 years range 21–87 years and the mean followup period was 15 months range 12–20 months This study consisted of eleven fractures involving metaphysis and six ulna styloid base fractures Fracture union radiologic parameters stability of the distal radioulnar joint DRUJ and functional outcomes including ROM grip strength and functional scores were evaluatedAll patients showed bony union the average radial height was 105 mm and the ulnar variance was 08 mm on final radiographs None of the patients had instability of the DRUJ compared with the opposite wrist and the subluxation ratio was within normal range on the followup CT scan There were 6 excellent and 11 good cases according to Sarmiento’s modified wrist score at the last followupLocking compression plate distal ulna plate fixation of irreducible or unstable distal ulna fractures after stabilization of concomitant distal radius fractures showed favorable results in union alignment and functional outcomes and therefore could be one of the recommendable implant options for distal ulna fractures
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