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CLINICAL AND RADIOLOGICAL OUTCOMES OF DISTAL RADIUS FRACTURES TREATED BY ORIF WITH VOLAR FIXED-ANGLE PLATE IN ATLETHES TOP LEVEL

M. MASSARELLA «VILLA STUART» SPORTS CLINIC, ROME, ITALY
Background: the distal radius fractures are the most common fractures of the upper limbs and represent the 17% of all the fractures treated in emergency.
Objective: the evaluation of the correlation between the clinical and radiographic outcome obtained with the surgical osteosynthesis with volar plate for the treatment of articular fractures of the wrist, in order to highlight the need of anatomical features restoration with particular precision due to the considerably influence on functional recovery.
Materials and Methods: we evaluated a series of 50 consecutive patients for distal meta-epiphyseal fracture of the radius, with or without association of a fracture of the distal ulna, aged 21 to 35 years, who had undergone surgery from January 2010 to December 2013. All patients were evaluated clinically and radiographically, preoperatively and postoperatively. For the clinical evaluation, the DASH score and Mayo wirst clinical rating scale was used.
Results: after one year, the range of movement of the wrist was very satisfactory, and the mean grip strength was 77.5% of the opposite wrist. The Disabilities of the Arm, Shoulder, and Hand (DASH) score was 18 and the Mayo Modified Wrist Score was 82,5.
Conclusions: complex articular distal radius fractures, like those of other sites, need an appropriated surgical treatment and the stabilization system with volar LCP demonstrates its validity for stabilization of these fractures, the articular surface reconstruction and the praecox mobilization. All the clinical results, anyway, are related to the patients’ age, the functional needs, the physiotherapy and the individual recovery .
Keywords: 
wrist fracture; osteosynthesis; distal radius fractures; upper limb.