The Impact of Ulnar Styloid Fractures on Patient Functional Outcomes and Complication Rates in Distal Radius Fractures Treated with Volar Locking Plates: A Comparative Study

This study evaluated the effects of ulnar styloid fractures on functional recovery and complication rates in 200 patients with distal radius fractures treated with volar locking plates. Participants were categorized into groups with (USF) and without (NUSF) ulnar styloid fractures, assessing outcomes like grip strength, range of motion, DASH scores, PRWE scores, and complication rates over 12 months. Results indicated that ulnar styloid fractures marginally reduced grip strength and increased DASH and PRWE scores and complication rates, suggesting a minor but significant impact on recovery. No difference in range of motion was observed. These findings advocate for a selective approach to ulnar styloid fracture fixation, emphasizing personalized patient management. Further research is recommended to refine treatment guidelines and explore long-term outcomes, highlighting the importance of considering ulnar styloid fractures in clinical decisions to optimize patient recovery.