Effectiveness of Distal Radial Locking Plate Fixation in Managing Unstable Distal Radial Fracture

Fractures occurring in the distal radius are commonplace and constitute approximately 17.5% of all adult fractures [1].Although various incidences have been reported, interpretation is complicated due to differences in population age and data recording methodologies.Recent data from Edinburgh (2010( -2011( ) and Finland (2008) ) indicate similar incidences in each country, approximately 23.6 and 25.8 per 10,000 per year respectively, for adult distal radius fractures [2].These fractures are well-documented in the literature [3,4] and their increasing prevalence is attributed to an Abstract: Background: Unstable distal radial fractures pose a significant clinical challenge due to the complexity of their management and the potential for long-term functional impairment.Traditional treatment approaches have shown limitations in achieving optimal stabilization and restoration of wrist function.The emergence of distal radial locking plate fixation presents a promising solution, offering improved stability and reduced rates of complication.Aim of the Study: This study aimed to assess the effectiveness of distal radial locking plate fixation as a management strategy for unstable distal radial fractures.Methods: This quasi-experimental study was conducted in the Department of Orthopedics and Traumatology, Chattogram Medical College Hospital, Chattogram, Bangladesh, spanning from June 2017 to July 2019.A total of 25 patients diagnosed with unstable distal radial fractures who underwent distal radial locking plate fixation were enrolled as participants in this study.Results: In this study, participants had a mean operative time of 92.80 ± 21.70 minutes, with the majority (80%) undergoing procedures lasting between 80 to 120 minutes.Analysis of complications revealed that 32% experienced soft tissue infections, and an equal number encountered delayed union of fractures.Wrist stiffness, affecting 56% of participants, was a common issue.Radiological union spanned 12 to 16 weeks for 71% of cases, while 29% required 22 to 26 weeks, with a mean ±SD time of 16.67 ± 5.26 weeks.Using the Quick DASH Score system, outcomes were favorable, with 52% achieving a 'good' outcome, 35% an 'excellent' outcome, and 13% attaining 'fair' results.Conclusion: The utilization of distal radial locking plate fixation proves to be a valuable management strategy for addressing unstable distal radial fractures.This study revealed favorable trends in operative duration and postoperative outcomes.Radiological union exhibited variability, showcasing the adaptability of this technique.These findings collectively support the effectiveness of distal radial locking plate fixation in effectively managing unstable distal radial fractures.