Sammendrag
INITIAL EXPERIENCE WITH THE FORTE PLATE FOR DORSALLY DISPLACED DISTAL RADIUS FRACTURES. Open reduction and plate osteosynthesis is occasionally indicated for dorsally displaced distal radius fractures. We reviewed our medium term results with the Forte plate, one of the recently introduced purpose-made implants. 25 patients with unstable fractures operated during the first year were reviewed 19 (12-24) months after surgery. Median age at operation was 53 (28-80) years. There were seven high energy and 18 low energy injuries. Fourteen fractures extended into the radiocarpal joint. Three patients had a poor clinical result and were re-operated before review with an arthrodesis, ulnar shortening, or Sauve-Kapandji operation. The remainder had six excellent, 12 good, and four fair results. Grip strength was reduced to a median of 80 (56-111) percent of that on the uninjured side. Three patients had lost more than 30 percent grip strength. Irritation of the extensor tendons was a minor problem. Initial radiological correction of deformity was satisfactory, and radial length was well preserved at follow up. There was, however, an increase in volar angulation of the distal radius in 20 patients - by more than 10 degrees in nine. Seven patients had 20 to 30 degrees volar tilt at final review and tended to have a poorer clinical result than other patients. We feel our results with the Forte plate to be satisfactory, but the increase in volar tilt after surgery is a cause for concern.
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