Department of Orthopedic Surgery, Faculty of Medicine, South Valley University, Qena, Egypt.
10.21608/svuijm.2023.233432.1678
Abstract
Background: The use of volar locked plates (VLP) has been become standard treatment of the majority of distal radius fractures. Nevertheless, adequate fixation for high energy comminuted fractures still a major challenge. Severely comminuted articular fractures are technically challenging where dorsal bridge plating (DBP) can be used as an improved fixation technique. Objectives: The main objective of this prospective study is to compare the radiological and functional outcomes of DBP and VLP in comminuted distal radial fractures. Patients and methods: Between 2022 and 2023, 19 patients with displaced, unstable fractures of the distal radius were randomized to receive either DBP or VLP. Results: The mean age of DBP and VLP group was 38.2 and 39.1 years, respectively. The mean time to union was 2.6 ± 0.3 and 2.3 ± 0.2 months in the DBP and VLP, respectively (P > .05). Both fixation techniques demonstrated similar radial inclination, and radial height at last follow-up (P > .05). However, the volar tilt was significantly better in the VLP group compared to the DBP group (P = .001). No statistically significant difference was observed between groups in grip strength and wrist ranges of motion at final follow-up (P > .05). Conclusion: This study showed better radiographic results of VLP compared to DBP. However, no technique demonstrated functional superiority at last follow-up.
Said, E. S., Hamdy, E., Safy, B. M., & Tammam, H. (2025). Dorsal Bridge Plating versus Volar Locking Plate Fixation for Management of Unstable Distal Radius Fractures. SVU-International Journal of Medical Sciences, 8(1), 866-873. doi: 10.21608/svuijm.2023.233432.1678
MLA
El Sayed Said; Emad Hamdy; Baher Mohamed Safy; Hamdy Tammam. "Dorsal Bridge Plating versus Volar Locking Plate Fixation for Management of Unstable Distal Radius Fractures", SVU-International Journal of Medical Sciences, 8, 1, 2025, 866-873. doi: 10.21608/svuijm.2023.233432.1678
HARVARD
Said, E. S., Hamdy, E., Safy, B. M., Tammam, H. (2025). 'Dorsal Bridge Plating versus Volar Locking Plate Fixation for Management of Unstable Distal Radius Fractures', SVU-International Journal of Medical Sciences, 8(1), pp. 866-873. doi: 10.21608/svuijm.2023.233432.1678
VANCOUVER
Said, E. S., Hamdy, E., Safy, B. M., Tammam, H. Dorsal Bridge Plating versus Volar Locking Plate Fixation for Management of Unstable Distal Radius Fractures. SVU-International Journal of Medical Sciences, 2025; 8(1): 866-873. doi: 10.21608/svuijm.2023.233432.1678
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