Objective To explore the clinical effect of the approach of 2.4mm universal locking plate in the treatment of AO-C fractures in the distal radius of the elderly. Methods A total of 27 patients by using 2.4mm universal locking plate for the treatment of AO-C fractures in the distal radius of the elderly was selected from Jun 2014 to Jun 2016. In these 27 cases, by comparison of the imaging parameters, and doing the postoperative functional exercise gradually, the wrist function was evaluated according to the Gartland-Werley function score at 6 months postoperatively. Results All patients were followed for 6 to 12 months after operation (average 7.6 months). 1st week, 8th week and 16th week postoperatively, palmar angle were measured, ulnar deviation, radial height, there were significant improvements during the comparison of 1st week, 8th week, 16th week after operation and before operation, the difference was statistically significant (P<0.05). The Gartland-Werley functional score of the wrist was evaluated at 6 months postoperatively. Among them, 11 cases were excellent, 15 cases were good, and the excellent and good rate was 96.3% (26/27), the incidence of complications was 3.70% (1/27). Conclusion Using the side of the approach 2.4mm universal locking plate for the treatment of elderly patients with distal radius of AO-C fractures can be satisfied with clinical efficacy and effectively prevent the fracture reduction and re-shift, intraoperative fixation of the fixed, adequate bone graft and early rehabilitation is the key to treatment. |