Open reduction and internal fixation of distal radial fractures using the Pi-plate.

The authors reviewed 22 patients with 23 fractures of the distal radius, who were treated by open reduction and internal fixation using the low profile contourable titanium dorsal distal radius AO Pi-plate. There were four men and 18 women with a mean age of 57 years. The mean follow up period was 26 months (range, 12-48 months). The modified Lidstrom's radiographic scoring system and the modified Gartland and Werley' functional scoring systems were used for evaluation of the outcome. An excellent clinical outcome was present in four patients, a good in 10, a fair in seven, and a poor in two. Radiographic results were excellent in 12 patients, good in 10, and fair in one patient. Seven patients required removal of the plate for median nerve compression and tendonitis. The Pi-plate can be used in a wide spectrum of distal radial fractures including complex comminuted intra-articular (AO type C3) fractures with satisfactory functional outcome and low rate of complication.