# COMPLEX FRACTURES OF THE DISTAL RADIUS: ANALYSIS OF OSTEOSYNTHESIS USING SPANNING PLATES

**Authors:** TÚLIO FELÍCIO DA CUNHA RODRIGUES, AFRÂNIO DONATO DE FREITAS, JOÃO ANTONIO CÔRTES VIEIRA, JUAN CAMILO ORTEGA RIVERA, RODRIGO MITRE COTTA

PMC · DOI: 10.1590/1413-785220243201e278038 · 2025-04-07

## TL;DR

This study evaluates the effectiveness of using spanning plates for complex fractures in the wrist, showing promising results in postoperative recovery.

## Contribution

The study provides clinical evidence supporting the use of spanning plates for treating complex distal radius fractures.

## Key findings

- The average radial inclination was 13.70 degrees, indicating good alignment post-surgery.
- The joint step was 0.78mm, suggesting minimal displacement after treatment.
- Spanning plate fixation proved to be an effective method for managing complex wrist fractures.

## Abstract

To radiographically evaluate the postoperative results of AO 2R3C3 type distal radius fractures treated using the spanning plate technique, associated or not with other fixation methods.

Retrospective observational study that evaluated 14 patients, aged 29 to 80 years, who underwent osteosynthesis, from November 2021 to June 2022. For radiographic measurement, the following parameters were defined: ulnar variance, volar inclination, radial inclination and step articulate.

The mean value of radial inclination was 13.70 degrees, volar inclination was 0.85 degrees, ulnar variance was 0.60mm and joint step was 0.78mm.

Fixation using spanning plate is an excellent alternative in the management of complex fractures of the distal radius.
Level of Evidence IV, Case Series.

## Full-text entities

- **Diseases:** FRACTURES OF THE (MESH:D050723), RADIUS (MESH:D011885), distal radius fractures (MESH:D000092503)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

8 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11978308/full.md

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Source: https://tomesphere.com/paper/PMC11978308