ORIGINAL RESEARCH article
Front. Surg.
Sec. Orthopedic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1552764
The comparison of clinical outcomes between the volar locking plate fixation and dual plates fixation of high energy distal radius fractures
Provisionally accepted
Yang LiuYuling GaoDong Wang
Yanrui ZhaoTianchao LuHanzhou WangBinzhi ZhaoZiyi LiJianwei Guo
Junlin Zhou*- Beijing Chaoyang Hospital, Capital Medical University, Beijing, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Purposes: The aim of this study was to compare clinical outcomes of the dual-plate fixation and the volar locking plate fixation on high energy intra-articular distal radius fractures.Methods: For high energy intra-articular distal radius fractures with volar fragments, dorsal fragments and radial styloid fragments, 168 patients treated with three kinds of fixation methods(the volar locking plate fixation, voalr+radial plating fixation and dorsal+ radial plating fixation) were retrospectively reviewed and divided into three groups. Functional evaluations included DASH score, Mayo wrist score, wrist joint ROM, and grip strength percentage relative to the healthy side. Radiographic parameters assessed were volar tilt, radial inclination, radial height, and ulnar gap/step distance. Complications events were documented.Results: It showed significant differences in volar tilt, radial inclination and gap/step distance at 1 month postoperatively between the volar locking plate fixation group and the volar+radial plating group as well as the dorsal+radial plating group. And the the volar+radial plating group showed significant difference as the dorsal+radial plating group for the gap/step distance at 1 month postoperatively(p ˂ 0.01). Forty-six complications were recorded for 15 cases of the volar locking plate fixation group, 16 cases of the volar+radial plating group and 15 cases of the dorsal+radial plating group.. Conclusions: For high energy distal radius fractures, the volar locking plate fixation and the dual-plate fixation could achieve good and similar functional outcomes and radiological outcomes. The dual-plate fixation has the advantage of achieving better reduction quality.
Keywords: Articular, Specific fragment, Volar locking plate, dorsal plate, Radial column, Distal radius fracture (DRF)
Received: 29 Dec 2024; Accepted: 02 Jun 2025.
Copyright: © 2025 Liu, Gao, Wang, Zhao, Lu, Wang, Zhao, Li, Guo and Zhou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Junlin Zhou, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.