Abstract:
Introduction. Distal radius fractures are about 2 times more common than fractures in other areas of the
human body. The annual incidence is 24 cases per 10,000 people per year. Predominantly affected are
women, of >55 years old, than men of the same age, the ratio being 2/1. While in younger age, more
common cases are encountered among men. Polyaxial angular stability plate is the type of implant that
ensures a stable fixation of the fracture due to its anatomical shape and the locking of the screw at the
optimal angle for reduction. Once the acceptable reduction is made, the fixation with such a plate assures
that during the manipulations, the fragments will be kept in the initial position. The main advantage of this
plate is that it is not necessary to move the plate in the sagittal or axial plane in order to be able to fix the
screw, in comparison with uniaxial plate, this type does not disturb the underlying cortical bone infusion as
much as conventional plates do.
Case presentation. Patient X, 60 years old. The woman fell, as she got off the trolleybus, leaning on her
left hand palm. The patient has been complaining of pain in the region of the left radio-carpal joint, limited
movement, edema. She has been transported to IMSP IMU, emergency department for further treatment.
RX examination has revealed a fracture of left distal segment radial bone, radiological AO2RC1.2. An
orthopedic closed reduction of the fracture has been performed, radiologically the reduction is not
acceptable, the patient is being prepared for surgical treatment. Modified Henry approach. Open reduction
of the left distal radius fracture with polyaxial angular stability plate, radiologically fracture is reduced
anatomically, stable. The patient followed the postoperative regimen. She came for an examination a year
after surgical treatment, function: flexion-extension amplitude 65-70 grades, adduction 35-40 grades and
abduction 15 grades.
Discussion. Great postoperative results. Functionally, the movements in the left radio-carpal joint are good
and coincide with that of the right upper limb. Postoperative complications did not occur. The patient
returned to her daily routine.
Conclusion. Based on the diagnosis and treatment tactics performed, we have chosen a correct fixator that
allowed us to obtain a stable reduction, which did not change postoperatively. Due to the polyaxial angular
stability plate, its adaptation to the bone was optimal, and maintained a good vascularity of the periosteum,
which allowed us a faster and qualitative bone regeneration. Polyaxial angular stability plate has been
shown to be an optimal implant for intra-articular distal radius fractures in elderly people.
