Advanced volar locking plate fixation for intra and extra articular distal radius fractures: a retrospective study

p style=font-size: medium; color: #000000; font-weight: 400;strongBackground/strong/p p style=font-size: medium; color: #000000; font-weight: 400;Distal radius fractures are among the most common orthopedic injuries, posing significant challenges due to their high prevalence and potential for long-term functional impairment. Volar locking plates have emerged as the gold standard for managing unstable and extra-articular fractures, offering superior outcomes compared to traditional methods. This study evaluates the clinical, radiographic, and functional outcomes of volar locking plate fixation in 34 patients with intra and extra-articular distal radius fractures./p p style=font-size: medium; color: #000000; font-weight: 400;strongMethods/strong/p p style=font-size: medium; color: #000000; font-weight: 400;This retrospective study analyzed 34 patients treated for intra and extra-articular distal radius fractures with volar locking plates at a single orthopedic center. Patients were followed for a mean duration of 24 months (range: 12ndash;36 months)./p p style=font-size: medium; color: #000000; font-weight: 400;Outcomes were assessed using the Disabilities of the Arm, Shoulder, and Hand (DASH) score, Visual Analog Scale (VAS) for pain, range of motion (ROM), and radiographic parameters. Complications, including hardware-related issues and soft tissue irritation, were recorded. Statistical analysis compared preoperative and postoperative outcomes, with significance set at p lt; 0.05./p p style=font-size: medium; color: #000000; font-weight: 400;strongResults/strong/p p style=font-size: medium; color: #000000; font-weight: 400;The mean DASH score at the final follow-up was 4.2 plusmn; 1.8, reflecting excellent functional recovery. Pain relief was complete, with all patients reporting a VAS score of 0. ROM restoration was highly satisfactory, achieving 93ndash;98% of contralateral wrist motion. Radiographic evaluations confirmed 100% fracture consolidation with no cases of malunion or nonunion. Complications were minimal, with only two patients experiencing transient soft tissue discomfort, managed conservatively. No tendon irritation or hardware-related complications were observed./p p style=font-size: medium; color: #000000; font-weight: 400;strongConclusions/strong/p p style=font-size: medium; color: #000000; font-weight: 400;Volar locking plate fixation for intra and extra-articular distal radius fractures demonstrated excellent clinical, functional, and radiographic outcomes in this cohort of 34 patients. The low-profile design and anatomical contouring of modern plates minimized complications while promoting effective pain relief and rapid functional recovery./p