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
Related Articles
- EP ID EP464640
- DOI 10.9790/0853-1802020103.
- Views 64
- Downloads 0
Thyroid Lesions – Cytodiagnosis by Fine Needle Aspiration and Non-Aspiration Cytology - Study of 3934 Cases
All thyroid nodules are not cancer and the fine needle aspiration cytology is an accepted cost effective simple method for screening the nodules for malignancy. A three-year study of thyroid lesions (March 2012 to march...
CHI3L1 Overexpression In Different Types Of Ovarian Cancer
Epithelial ovarian cancer contributes to a large proportion of mortality among all cancer in women due to late diagnosis at an advance stage. The present study was done on 40 ovarian cancer patients which include 35 pati...
Common Bacterial Isolates of Diabetic Foot Ulcer in An Indian Tertiary Care Hospital
.
Use of Topical Cyclosporine A 0.05% in Treatment of Adenoviral Keratoconjunctivitis-Related Subepithelial Infiltrates
Aim : To evaluate the treatment with topical cyclosporine A (CsA) in patients with subepithelial infiltrates (SEI). Material & Methods: Hospital-based study was conducted over a period of one year. A total of 25 patients...
Gingival Depigmentationusing Scalpel and Electrocautery – A Case Series
Gingival pigmentation has intrigued clinicians and analysts alike, due to its multifactorialaetiology and the difficultiesfaced in its absolute elimination.Different lesions and conditionswith several exogenous and endog...