Credibility of locking plate in treatment of distal end radius fractures with intra articular extension
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 2
Abstract
Background: The management of distal end radius has undergone an extraordinary evolution over the preceding twenty years. The technical advance of palmar locking plating has again changed the management of this fracture in a real and seemingly permanent way. Perhaps most importantly it is becoming increasingly apparent that operative intervention needs to be customized to the patient, fracture and expertise of the surgeon. Materials and Methods: The study is hospital based prospective study centered in R.L. Jalappa Hospital from November 2013 to April 2015 between which thirty patient patients with intra articular distal radius fractures are treated with locking compression plate and screws. Results: Patients were regularly followed-up post-operatively. Thirty cases were available for follow up. Excellent results were seen in 20 patients, good results in 5 patients, fair results in 3 patients and poor results in 2 patients. Conclusion: Open reduction and internal fixation with locking compression plate and screws gives better functional and anatomical results in intra articular distal radius fractures. The successful use of locking compression plate for intra articular distal radius fractures requires careful assessment of fracture pattern, appropriate patient selection, meticulous surgical techniques, appropriate choice of fixation, screw size, judicious augmentation with internal fixation, careful post-operative monitoring and aggressive early institution of rehabilitation. The final functional result of treatment not only depends of on anatomical reduction but also depends on surrounding soft tissue injuries and early mobilization.
Authors and Affiliations
Dr. Parvataneni Prathap, Dr. Arun HS, Dr. Buddai Nagarjun
Keywords
Related Articles
- EP ID EP502241
- DOI 10.22271/ortho.2017.v3.i2i.81
- Views 117
- Downloads 0
Case report rare greater trochanter fracture
Introduction: The Greater Trochanter fracture is a rare injury. It is of two types, True fracture which occurs only in Adults or as Epiphyseal separation which are found in adolescent population. It is caused by direct h...
A study on clinical outcome of total elbow arthroplasty
Introduction: Prosthetic total elbow arthroplasty (TEA) is a recognised treatment for the painful arthritic elbow. is a challenging procedure for orthopedic surgeons. For elderly patients with deformity and ankylosis of...
Clinical and microbiological profile of post-traumatic osteomyelitis in tertiary hospital in Yaoundé –Cameroon
Background: Post-traumatic osteomyelitis is bone infection secondary to a trauma (open fracture or bone surgery). It is a painful and frustrating disease characterised by a high rates of therapeutic failures and a costly...
A study of functional outcome in young arthritic hip undergoing uncemented total hip arthroplasty
There has been an increase demand of Total hip arthroplasty in young patients, however long-term results are expected to be inferior. To determine the efficacy of total hip replacements in population, the current authors...
Surgical site infections in orthopedic implant surgery and its risk factors: A prospective study in teaching hospital
Background: Surgical site infections (SSI) in orthopaedic implant surgery is devasting complication range from 1-2% to 22%. It leads to increase case cost, prolongs antibiotic use/abuse, increases morbidity and rehabilit...