Publication:

Functional and radiological outcome of intra articular distal radius fractures treated with variable-angle locking plate

Background Intra-articular distal radius fractures are common injuries that require precise anatomical reduction to achieve optimal functional recovery. Variable-angle locking plates (VA-LCP) have been increasingly used due to their ability to stabilize periarticular fragments through polyaxial screw placement, potentially enhancing both radiological and clinical outcomes.

Methods A prospective observational study was conducted among 85 patients with intra-articular distal radius fractures who underwent open reduction and internal fixation with VA-LCP at a tertiary care centre. Clinical and radiological assessments were performed at discharge, 4 weeks, and 6 months. Data were analysed using SPSS, with quantitative variables expressed as mean±SD and repeated-measures ANOVA applied for change over time.

Results The mean age was 35.8 years, with males forming 72.9% of the cohort. Significant improvement was observed across all wrist movements (p<0.001), with ≥90% of normal range regained by 6 months. Mean Quick DASH score improved to 5.73, and MMWS increased to 92.59, with 76.5% achieving excellent functional outcomes. Radiological parameters were well maintained, and only 8.2% experienced minor complications.

Conclusions VA-LCP provides stable fixation and results in excellent functional and radiological recovery for intra-articular distal radius fractures, with minimal complications.