A Prospective Study on Functional Evaluation of Volar Locking Plate Fixation of Distal Radius Fractures
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Introduction: We report case series showing functional evaluation of volar locking plate fixation of distal radius fractures. Considering the high frequency of distal end radius fractures and scarcity of data regarding the optimal treatment, the present study was undertaken to assess functional evaluation of fractures of lower end radius treated with volar locking plate fixation followed by early mobilization of wrist joint. Material And Methods: A Prospective study of 30 patients with distal radius fractures treated with open reduction and internal fixation with volar locking plates in all the patients coming at rockland hospital qutub institutional area,new delhi. Results: In the present study 76.7% of the patients were males and 23.3% of the patients were females. The male to female ratio was 3.3:1. Mean age of the study population was 46.20 ± 14.63. In the present study 40% of patients presented with right sided distal radius fractures and 60% of patients presented with left sided distal radius fractures In the present study majority of the patients that is 53% reported mode of injury as road traffic accident 47% reported mode of fall on outstretched hand. In present study 40% of patients presented with frykman’s grade III, 20 % of patients presented with grade I, 16.67% of patients presented with grade I and 13.33% with grade VII. In the Present study clinical union was noted among 70% of the patients at second follow up. In the study radiological union was noted among 60% of patients at second follow up and in the remaining 40% of patients radiological union was seen during third follow up. In the study during the third follow up most of the patients had QUICK DASH score of ≤ 25(67%). The mean average score was 19.00 ± 10.147. In the present study the functional outcome based on quick dash score was excellent in 67% of the patients and while good outcomes were noted among 33% of patients. Conclusion: It is concluded that the internal fixation with volar locking plate is the good option for the fixation having excellent functional results.
Authors and Affiliations
Dr Gundu Gangadhar, Dr. Azad Khan, Dr Sheikh Davood Habib, Dr Ashish Pandey, Dr Abhishek Verma, Dr Surya Kant Nirala, Dr. (Prof. ) P. K. Dave
Keywords
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- EP ID EP557978
- DOI 10.9790/0853-1803147386.
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