Stabilisation of distal radius fractures by a novel endomedullary, fixed-angle plate: First experience

Background: Based on the fact that not every extra-articular distal radius fracture is stable, we asked ourselves whether there would be a place for other methods for stable fracture management besides on the one hand the plaster cast or pin osteosynthesis, respectively, external fixateur and, on the other hand, the traditional plate fixation (from a palmar or dorsal direction). Patients and Methods: In this paper, we report our first experience with a novel plate that has been in use in Europe since April 2005. It is a fixed-angle, intrafocal nail plate [1] (circle times Fig. 1). We started using it in April 2005 and up to October 31, 2006 have treated 32 patients. Results, Complications: After one year we can only provide provisional results. Among the 32 cases we experienced two complications: a rupture of the long thumb extensor tendon and a loosening of the locking screws. Conclusions: The nail plate always has a firm place in our daily routine for those cases where a stable osteosynthesis with minimal impairment of soft tissue is desired. A prerequisite for success is a correct indication and an exactly performed operative technique. Apart from a palmar splint for ten days to spare the soft tissue, immobilisation is not necessary.