Vol. 11, Issue 3 (2025)

Background: Intra-articular fractures of the distal radius are prevalent injuries requiring accurate anatomical reduction and stable fixation to restore wrist function and prevent long-term complications. Volar locking compression plates (VLCP) have emerged as an effective treatment modality, offering biomechanical stability and enabling early mobilization.

Objective: This study aims to evaluate the effectiveness of VLCP in managing intra-articular fractures of the distal radius, focusing on functional outcomes and complications.

Methods: A prospective study was conducted on 60 patients aged 18-70 years with intra-articular distal radius fractures treated using VLCP. Functional outcomes were assessed using the Gartland and Werley scoring system, while radiological parameters evaluated fracture union and alignment. Complications such as arthritis, malunion, and complex regional pain syndrome were analyzed.

Results: Excellent functional outcomes were achieved in 55% of patients, while 35% had good results and 10% had fair outcomes. Fracture union occurred within 2-3 months in 85% of cases. Complications included arthritis (15%), malunion (5%), and complex regional pain syndrome (5%).

Conclusion: VLCP provides an effective solution for managing intra-articular distal radius fractures, ensuring excellent functional recovery and minimizing complications. However, meticulous surgical technique and adherence to rehabilitation protocols are critical for optimal outcomes. Long-term studies are recommended to assess sustained efficacy and potential late-onset complications.