{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T02:13:42Z","timestamp":1767665622910,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We evaluated radiographic and functional results of volar locking plate fixation of unstable distal radius fractures. \\r\\nMethods: The study included 27 patients (15 males, 12 females; mean age 45 years; range 18 to 77 years) who were treated with volar locking plate fixation for unstable distal radius fractures. Twenty-two patients (81.5%) had AO type C and five (18.5%) had type B fractures. Two patients (7.4%) had type I open fractures. Dorsal and volar angulation were present in 21 (77.8%) and six (22.2%) fractures, respectively. Four patients (14.8%) also had elbow dislocation and\/or fracture and nine patients (33.3%) had disruption of the distal radioulnar joint. Autologous iliac crest graft was used in 10 patients (37%). Postoperative assessments included range of movement and grip strength measurements, and radiographic parameters using the Stewart criteria. Functional results were assessed using the Q-DASH (Quick-Disabilities of the Arm, Shoulder and Hand) questionnaire and the Gartland-Werley scale. The mean follow-up was 18 months (range 12 to 34 months).\\r\\nResults: All fractures united without a problem within a mean of 6.5 weeks (range 6 to 8 weeks). The following parameters became equal to the unaffected side: ulnar variance (n=21, 77.8%), radial inclination angle (n=13, 48.2%), radial tilt angle (n=8, 29.6%), and radial height (n=11, 40.7%). The mean radiographic Stewart score was 0.5 (range 0 to 3). The mean grip strength of the operated side was 72.4% (18 kg) of the normal side. The mean Q-DASH and Gartland-Werley scores were 8.3 (range 0 to 70.5) and 4.7 (range 0 to 16), respectively. According to the Gartland-Werley scale, the results were excellent in 12 patients (44.4%), good in 12 patients, and moderate in three patients (11.1%). Three complications (11.1%) occurred, including loss of alignment in two patients, and screw-related discomfort in one patient.\\r\\nConclusion: Volar locking plate fixation is an effective treatment in the anatomical and functional restoration of unstable distal radius fractures.\n\n\u00d6zet\n\nAma\u00e7: Volar yerle\u015fimli kilitli plak vida tespitleri ile tedavi edilen instabil radius alt u\u00e7 k\u0131r\u0131klar\u0131n\u0131n radyografik ve i\u015flevsel sonu\u00e7lar\u0131 de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: Radius alt u\u00e7 instabil k\u0131r\u0131\u011f\u0131 nedeniyle volar yerle\u015fimli kilitli plak tespiti uygulanan 27 hasta (15 erkek, 12 kad\u0131n, ort. ya\u015f 45; da\u011f\u0131l\u0131m 18-77) incelendi. AO s\u0131n\u0131flamas\u0131na g\u00f6re k\u0131r\u0131klar\u0131n 22\u2019si (%81.5) tip C, be\u015fi (%18.5) tip B idi. \u0130ki hastada (%7.4) tip I a\u00e7\u0131k k\u0131r\u0131k vard\u0131. K\u0131r\u0131klar\u0131n 21\u2019inde (%77.8) dorsal, alt\u0131s\u0131nda (%22.2) volar a\u00e7\u0131lanma vard\u0131. D\u00f6rt hastada (%14.8) k\u0131r\u0131\u011fa dirsek \u00e7\u0131k\u0131\u011f\u0131 ve\/veya k\u0131r\u0131k e\u015flik etmekteydi. Dokuz hastada (%33.3) distal radioulnar eklem sorunlar\u0131 vard\u0131. On hastada (%37) k\u0131r\u0131k tespitine ek olarak otolog krista iliyka grefti kullan\u0131ld\u0131. Hastalar\u0131n hareket a\u00e7\u0131kl\u0131klar\u0131, kavrama kuvvetleri \u00f6l\u00e7\u00fcld\u00fc, Stewart \u00f6l\u00e7\u00fctlerine g\u00f6re radyografik de\u011ferlendirmeleri yap\u0131ld\u0131. Fonksiyonel de\u011ferlendirmede Quick-DASH-T (Disabilities of the Arm, Shoulder and Hand-T\u00fcrk\u00e7e) sorgulamas\u0131 ve Gartland-Werley de\u011ferlendirme formu kullan\u0131ld\u0131. Ortalama takip s\u00fcresi 18 ay (da\u011f\u0131l\u0131m 12-34 ay) idi.\\r\\nSonu\u00e7lar: K\u0131r\u0131klar\u0131n t\u00fcm\u00fc ortalama 6.5 haftada (da\u011f\u0131l\u0131m 6-8 hafta) sorunsuz kaynad\u0131. Yirmi bir hastada (%77.8) ulnar varyans, 13 hastada (%48.2) radial inklinasyon a\u00e7\u0131s\u0131, sekiz hastada (%29.6) radial tilt a\u00e7\u0131s\u0131, 11 hastada (%40.7) radial y\u00fckseklik sa\u011flam tarafla e\u015fitlendi. Stewart \u00f6l\u00e7\u00fctlerine g\u00f6re ortalama radyografi puan\u0131 0.5 (da\u011f\u0131l\u0131m 0-3) bulundu. Tedavi edilen tarafta kavrama g\u00fcc\u00fc, sa\u011flam taraf\u0131n ortalama %72.4\u2019\u00fc (18 kg) idi. Quick-DASH-T skoru ortalamas\u0131 8.3 (da\u011f\u0131l\u0131m 0-70.5), Gartland-Werley puan\u0131 ortalamas\u0131 4.7 (da\u011f\u0131l\u0131m 0-16) bulundu. Gartland-Werley de\u011ferlendirmesine g\u00f6re, 12 hastada (%44.4) m\u00fckemmel, 12 hastada iyi, \u00fc\u00e7 hastada (%11.1) ise orta sonu\u00e7 al\u0131nd\u0131. \u0130ki hastada dizilim kayb\u0131 ve bir hastada \u00e7evre dokularda uyumsuzluk olmak \u00fczere \u00fc\u00e7 (%11.1) hastada komplikasyon g\u00f6r\u00fcld\u00fc.\\r\\n\u00c7\u0131kar\u0131mlar: Volar yerle\u015fimli kilitli plak uygulamalar\u0131 radius alt u\u00e7 anatomisinin d\u00fczeltilmesinde ve korunmas\u0131nda etkilidir.<\/jats:p>","DOI":"10.3944\/aott.2009.303","type":"journal-article","created":{"date-parts":[[2009,10,1]],"date-time":"2009-10-01T07:42:43Z","timestamp":1254382963000},"page":"303-308","source":"Crossref","is-referenced-by-count":8,"title":["Volar locking plate fixation of unstable distal radius fractures"],"prefix":"10.5152","volume":"43","author":[{"given":"Ayhan","family":"Kilic","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yavuz","family":"Kabukcuoglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ufuk","family":"Ozkaya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murat","family":"Gul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sami","family":"Sokucu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umit","family":"Ozdogan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2287\/2244","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:57:32Z","timestamp":1763463452000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2287"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2009,1,4]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.303","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}