Abstract

Introduction: Fractures of distal end radius continues to leave orthopaedic surgeons with dilemma with no proper consensus. The aim of the present study was to compare the radiological and functional outcome of these fractures using the conservative and operative modality (volar plating). Material and methods: A Prospective randomised study was conducted between May 2014 and May 2015 comprising of 60 patients. Group A (n=30) were treated with casting and Group B (n=30) were operated with volar plating. Results: As per Frykman’s classification system, type 3 was the most common with 29 (48.3%) cases followed by type 1 with 18 (30%) cases. The average duration of surgery was 94±5.8 mins in patients with group B. The average radiological union was 9 ±2.3 weeks in group A and 8±3.6 weeks in group B patients. Parameters like range of movements, grip strength, radial inclination, volar tilt were better in operative group which were statistically significant (P<0.0001). Conclusion: Although it was a small study, yet it can be stated that plating gives a better functional and radiological outcome as compared to casting with fewer complication rates, early mobility and better anatomical reduction.

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