Functional outcomes and complication patterns in adult distal radius fractures managed with volar locking plates: A prospective hospital-based observational study.

BackgroundDistal radius fractures remain among the most frequent upper-limb injuries in adults. Volar locking plates have become a preferred treatment option due to their stable fixation and predictable functional recovery. Aim: To assess functional outcomes and complication patterns in adults with distal radius fractures managed using volar locking plates. MethodsThis hospital-based observational study included 100 adult patients treated with volar locking plate fixation. Demographic features, fracture types, mechanism of injury, and operative details were recorded. Functional outcomes were assessed at 6 weeks, 3 months, and 6 months using the Modified Mayo Wrist Score (MMWS). Complications were documented throughout follow-up. Data were summarised using descriptive statistics. ResultsThe mean age of participants was 44.6 ± 12.8 years, with a male predominance. Road-traffic accidents were the major cause of injury. AO Type C fractures formed the largest subgroup. Anatomical reduction was achieved in 90% of cases. Functional performance improved across follow-up, and 84% demonstrated excellent or good outcomes by 6 months. The mean final MMWS was 86.3 ± 9.4, reflecting favourable wrist function in most individuals. Complications occurred in 18% of patients. Transient median nerve neuropathy, superficial infection, tendon irritation, malunion, and implant loosening were the main issues; however, no case of tendon rupture or deep infection was recorded. Functional independence was regained by 92% at the end of follow-up. ConclusionVolar locking plate fixation offers stable anatomical restoration, reliable union, and robust functional recovery in distal radius fractures. The complication rate remained low, and most issues were manageable with timely intervention. RecommendationsFuture practice should incorporate early presentation, consistent radiographic monitoring, and structured physiotherapy to enhance long-term functional gains. Detailed preoperative planning is advisable for complex fractures to minimise malalignment. Strengthening postoperative surveillance can help detect implant-related issues early.