Evaluation of Functional outcome of JESS (Joshi External Stabilization System) fixator versus volar plating in treating closed intra-articular distal end radius fracture – A Prospective Study.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
Introduction: Distal end of radius fracture (DERF) is most common fracture of upper extremity in aging population. Several treatment options are available including open reduction and internal fixation(ORIF) with plate and screws, JESS fixation+_ K -wires, manipulation under anaesthesia with below elbow casing. The aim of this prospective study was to analyse the functional outcome for fractures of DERF using volar plate fixation compared to JESS fixation. Material and Methods: This study was conducted in N.R.S. Medical College and Hospital, between May’2016 to May’2018, treated 40 consecutive patients with DERF and was recruited alternatively with either treatment modality. Conclusion: JESS remain a good treatment option for treating DERF in poor socio-economic country like India with no need of open surgical implant removal and better grip strength after long term follow-up, but, open reduction and internal fixation gives better functional outcomes (in terms of range of motion and grip strength), early mobilisation and requirement of lesser number of physiotherapy sessions. Thus, open reduction and internal fixation with volar plate and screws is a better treatment option for treating comminuted intra-articular distal end radius fractures.
Authors and Affiliations
Dr. Utpal Bandopadhyay, Dr. Anindya Sundar Mukhopadhyay, Dr. Debojyoti Roy, Dr. Arka Chatterjee, Dr. Sudipto Nayek, Dr. Krishnakant Soren, Dr. Suman Das, Dr. Arumoy Bhuimali
Keywords
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- EP ID EP464640
- DOI 10.9790/0853-1802020103.
- Views 39
- Downloads 0
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