Distal radius fractures: surgical treatment with internal fixation.

AIM OF THE STUDY To evaluate the efficacy of plates and screws with angular stability in osteosynthesis of fractures of the distal radius. MATERIALS AND METHODS We analyzed 52 patients undergone surgery for fracture of the distal radius at the Clinica Ortopedica dell'Università di Trieste; in half of the patients osteosynthesis was provided using Synthes' LCP plates, in the other half we utilized a multidirectional and angular stable plate ("Aptus Radius" by Medartis). Mean follow-up was 28 ± 10 months, patients were evaluated with DASH score (disability of arm shoulder and hand) and the modified Gartland Werley score. RESULTS There were no significant differences between the two groups in terms of joint function, motility, volar and radial mean inclination. CONCLUSIONS Based on clinical and radiological results using angular stability plates must be considered as the method of election in the treatment of fractures of the distal epiphysis of the radius; in particular, thanks to the broader technical capabilities that they allow, are particularly indicated in unstable fractures.