Functional and Radiological Outcomes in Intra-Articular Fractures of Distal Radius with Volar Variable Angle Locking Plates

Intra-articular fractures of the distal radius pose a surgical challenge as there is no consensus in the literature on the treatment for these fractures. Many treatment modalities have been described; however, the use of volar variable angle locking plates is currently being advocated for these fractures.
Overall, 28 patients with intra-articular fractures of the distal radius managed with a volar variable angle locking plate were included in this study. The mean age of the patients in our study was 33.24 ± 11.74 years (range 22-64), and the average follow-up period was 12.18 ±2.64 months (range 6-20). Radiological assessment was done by analyzing volar tilt, radial inclination, radial length, and ulnar variance from the radiographs taken at six weeks and six months’ post-surgery. Functional assessment was done at two weeks, six weeks, three months, and six months. The final functional outcome was calculated at six months   using the Gartland and Werley scoring system. 
There was a constant gain in functional parameters, and significant improvements occurred within 12 weeks. Radiological indices were also maintained after six months of final follow-up showed no significant change. According to the Gartland and Werley scoring system, results were   75% excellent, 14.28% good, 7.14% fair, and 3.57% poor.   One patient developed a superficial infection which was managed with oral antibiotics, one patient had screw impingement for which screw removal was done at eight months, and another developed complex regional pain syndrome that was managed conservatively but ultimately had a poor outcome.
The use of Volar VALCP in intraarticular distal radius fractures is associated with early rehabilitation and good functional and radiological outcomes.