Complications and Plate Removal Surgeries after Performing Volar Plating of Unstable Distal Radius Fractures

Complications have often been reported in the literature after distal radius fractures treated conservatively or operatively [1-3]. Previously, the main indication for volar plating was a volar Barton or Smith fracture, but now volar locking plates are the most commonly used treatment for unstable distal radius fractures and during the last decade this method has become increasingly popular [4]. The plate design is anatomic and low profile, minimizing soft-tissue problems, and plating on the volar side of the radius makes it relatively easy to reduce the fracture while preventing extensor tendon irritation [5] In the last years, there has been a shift in operative technique from pin fixation or external fixation to volar locking plates, because the clinical and radiological outcomes have been good. [6]. However, several authors have reported serious complications when using volar locking plate fixation in unstable distal radius fractures and although the results and severity of complications varies [7], the matter of complications will have to be addressed when implementing new methods. As with all new methods, the rate of complications seem to decrease with increasing surgeon experience [8].