Abstract
Author presents the experiences with the use of LCP-distal radius plate by the distal radius fractures and by posttraumatic reconstructions of distal radius.
The poor functional result concerning the fractures of distal radius fractures and complications by osteosynthesis with LCP 3,5 mm for distal radius and it arises from several factors:
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- incorrect indication to the osteosynthesis
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- inexperiend operator
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- insufficient reposition of fragments and insufficient stabilisation – type C fractures
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- incorrect localisation of the plate
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- neurological deficit – medianus nerve lesion
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- deficient rehabilitation and poor functional treatment
Author looks upon the causes of failure by osteoesynthesis of fractures of distal radius.
In the years 2003 –2004 here were operated 29 fractures and 9 posttraumatic reconstructions of distal radius fractures with the LCP – distal radius 3,5 mm plate. The functional results show 63% excellent, 21% good, 7% satisfactory and 9% poor results. All these complications can be prevented by thorough judgment of X-rays and CT scans including the 2D and 3D reconstruction. The perfect reposition of the fragmants with the check on the X-ray C-arm and good localisation of the plate ensures good stability of osteosynthesis. The functional treatment involving the use orthesis or brace and early mobilisation and rehabilitation depend on the well technically performed osteosynthesis ensures a good functional result.
Theses abstracts were prepared by Professor Roger Lemaire. Correspondence should be addressed to EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
