Volar Plating Approach for Distal Radius Fracture
Introduction to Volar Plating
- The American Academy of Orthopaedic Surgeons recommends the volar plating approach as the preferred surgical technique for distal radius fractures due to its ability to provide stable fixation and allow earlier recovery of function in the short term (3 months) compared to other fixation methods 1, 2
Preoperative Planning
- The American Academy of Orthopaedic Surgeons suggests obtaining proper radiographic evaluation to confirm diagnosis and fracture pattern, including assessment of displacement, dorsal tilt, and presence of intra-articular involvement 3
- Fractures should be classified based on displacement (>3mm is significant) and dorsal tilt (>10° is significant) to guide treatment approach 3
Postoperative Management
- The American Academy of Orthopaedic Surgeons recommends instructing patients to perform active finger motion exercises immediately following surgery to prevent stiffness 4, 5, 6
- Early wrist motion is not routinely necessary following stable fracture fixation 4, 5, 6
- Radiographic follow-up is recommended at approximately 3 weeks and at the time of immobilization removal 3
- A home exercise program for rehabilitation should be prescribed 5, 6