- Volar locked plating is the most frequently utilized method for internal fixation of distal radial fractures.
- The overall complication rate for volar plating of distal radial fractures appears to be relatively low compared with other operative fixation methods.
- Carpal tunnel syndrome is the most commonly reported complication.
- However, this may occur after a distal radial fracture regardless of treatment method, with reported rates ranging from 0% to 20% with conservative management and 0% to 14% with volar plating.
- Extensor tendon rupture has been reported at rates of 0% to 4% and is the most frequent complication requiring plate removal.
- Variable-angle volar locking plates may be associated with fewer implant-related complications as a result of their greater degree of screw placement customization compared with fixed-angle volar locking plates.
Recommended CitationAlter, Todd H. and Ilyas, Asif M., "Complications Associated with Volar Locking Plate Fixation of Distal Radial Fractures." (2018). Rothman Institute Faculty Papers. Paper 109.