Management of Distal Radius Fractures Using Volar Locked Compression Plates: Functional and Radiological Outcomes with a Ten-year Follow-up

Introduction: Distal Radius Fractures (DRFs) are among the most common fractures of the upper extremity, with varying degrees of instability that significantly influence treatment outcomes. The management of unstable DRFs has evolved with the introduction of volar Locked Compression Plates (LCPs), allowing stable fixation and early rehabilitation. Aim: To evaluate the functional and radiological outcomes of unstable DRFs managed with open reduction and internal fixation using LCPs. Materials and Methods: This prospective study included 25 adult patients with unstable DRFs presenting within 14 days of injury. All patients underwent open reduction and internal fixation using volar LCPs. Fractures were classified preoperatively according to the Fernandez classification. Radiological assessment was performed at 3, 6, and 12 months to evaluate fracture union and restoration of anatomical parameters. Wrist range of motion was measured using goniometry. Functional outcomes were assessed using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire at six weeks, three months, six months, one year, and annually up to 10 years. Statistical analysis was performed using paired t-tests, with a p-value