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目的:观察掌侧万向锁定钢板内固定治疗桡骨远端不稳定性骨折的疗效。方法回顾性分析掌侧万向锁定钢板内固定技术治疗不稳定桡骨远端骨折患者36例,比较手术前后掌倾角、尺偏角、桡骨长度及关节活动范围等,并评价其临床疗效。结果经随访9~24个月,掌倾角、尺偏角、桡骨短缩均获明显改善,腕关节功能按Gartland与Werley评分标准评定,优20例,良13例,可2例,差1例,优良率为91.7%。结论对不稳定桡骨远端骨折,掌侧万向锁定钢板是一种安全有效的治疗方法,内固定可靠,可对骨折块进行有效固定,防止复位丢失、减少肌腱激惹等并发症,并早期进行腕关节功能锻炼,疗效满意。“,”Objective To observe the effect of volar variable-angle locking plate for unstable distal radial fractures. Methods 36 patients with the fractures were treated with volar variable-angle locking plate were retrospectively evaluated. The clinic effects were evaluated though comparing and analyzing the volar tilt,ulnar deviation,radial length and wrist function. Re-sults 36 cases were followed up for 9 to 24 months,the volar tilt,ulnar deviation,radial shortening were substantial improve-ment after surgery. According to Gartland-Werley wrist joint function score,20 cases achieved excellent,13 cases got good,and 2 fair,with 1 poor,the fine rate was 91. 7%. Conclusion Volar variable-angle locking plate is a safe and effective treatment for unstable distal radial fractures,which could prevent reduction lost and avoid tendon irritation. It allows the patients to start early exercise,and achieving a good clinical outcome.