Özet:

Purpose: After the detection of adult instable radius distal end fractures with volar lock plaque, the purpose was to evaluate functional, radiological results and complications. Instruments and Methods: January 2011-December 2014 from 56 patients who were treated with volar locked plate method due to unstable radius distal end break, 41 patients who were regularly checked, without additional injury and trackable (29 men,12 women middle age:43.2 distribution: 21-69 years) were taken to study. All breaks were type C. In the patient assessment; the Gartland-Werley Clinical Assessment System, the Mayo Clinic Hand Compound Assessment Criteria and the Quick DASH-T scale were used. The breaks were assessed in the direction of the cooking period and the development of complications. The average tracking time was 30.6 months (distribution 16 - 49 months). Results : In all cases, an average of 7.3 weeks (distribution 6 - 11 weeks) broken cooking was observed, the average Gartland-Werley score of patients was 3.88 (distribution 2-10), the average Quick DASH-T scale score was 7.3 (distribution 0-67.9), the average Mayo Clinical score was 86.9 (distribution 58-100). According to the Gartland-Werley Clinical Assessment System, the result was excellent in 21 patients (52 percent), good in 15 patients (36 percent) and medium (12 percent) in 5 patients. According to the Mayo Clinic Hand Compound Assessment Criteria, the results were perfect in 22 patients (53.5%) , good in 15 patients (36%) , medium in 3 patients (7.5%) and bad in 1 patient (2.5%) . In eight patients, various complications were observed. Result: AO type C distal radius breaks are detected with a volar locked plate, which provides good functional and clinical results. However, it should not be forgotten that the peculiar complications of this system can negatively affect the clinical results.

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