The management of distal radius fractures has evolved with the availability of locking plates to control the fracture fragments from the volar surface. This study compares volar locking plates (VLP) with any other available treatment including K-wires, screws, non-locking plates, external fixateurs or any combination of these.

Patients with distal radius fractures requiring surgical intervention were invited to participate and were randomised to the VLP group or the other surgical treatment group. Outcome was assessed on radiology(radial length, angle, inclination and articular step), function (range of motion and grip strength) and the Disability of Arm Shoulder and Hand (DASH) score. The final assessment was at one year. Complications were recorded. The target was one hundred and sixty patients. Comparisons of sub groups based on fracture classification are made, including intra-articular and extra-articular fractures.

By August 2008, one hundred patients will have completed their one year follow up assessment. Initial results show no significant difference between the groups.

New fixation techniques for common fractures require objective assessment under normal conditions of use. This prospective study compares locked plate fixation with techniques available before its introduction. It aims to examine a range of fracture severities to determine which fracture types are appropriate for this fixation technique.