Functional And Radiological Outcome Of Comminuted Intra-Articular Distal Radius Fractures Treated Withlow Profile Pre-Contoured 2.4 Mm Volar Locking Plates: A Retrospective Study
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 1
Abstract
Background: Comminuted intra-articular fractures of the adult distal radius are increasing in incidence due to increasing high velocity trauma. Conventional closed reduction techniques with or without K –wire fixation often fail to restore articular congruity. The occurrence of late collapse can be detrimental for long term function of the wrist. The advent of low profile volar locking compression plates have revolutionised the treatment of these difficult fractures by allowing stable, fragment specific fixation and early mobilisation of the wrist. Materials and methods: 34 patients with closed comminuted intra-articular fractures of the distal radius from a period from March 2012 to January 2015 were treated with open reduction and internal fixation with pre-contoured 2.4mm side specific volar locking compression plate. Patients were evaluated for functional outcome using the demerit point system of Gartland and Werley and radiologically by the Sarmiento modification of Lindstrom criteria at the final follow up of 12 months. Results: At 1 year follow up, 85% of the patients had excellent to good functional outcome. The radiological outcome was excellent in about 90% of the cases. Conclusions: We conclude that the use of low profile pre-contoured locking plates for comminuted intra-articular distal radius fractures provide stable fixation, allows early wrist mobilisation and provides excellent long term results.
Authors and Affiliations
Keshav Shenoy S, Abhishek Gumaste, Santosh Jeevannavar, Prasanna Baindoor
Keywords
Related Articles
- EP ID EP393617
- DOI -
- Views 103
- Downloads 0
Comparison Of Intra Medullary Locking Nail And Minimally Invasive Percutaneous Plate Osteosynthesis By LCP In Treatment Of Distal Tibial Fractures –Prospective Study
Because of sub cutaneous location and proximity to ankle joint, distal tibial fracture pose a significant challenge to Orthopedics surgeon and cannot be managed by following simple set of rules. With the advent of newer...
Study To Evaluate The Efficacy Of Steroid Injection For Tennis Elbow And To Understand The Cause Of Its Failure In Some Patients
Aim: Tennis elbow is a very common problem with numerous treatment options. Though a self limited disease it can be very disabling for some patients and they seek early recovery. We aim to evaluate the efficacy of local...
Concomitant Fracture Neck Femur And Slipped Capital Femoral Epiphysis In A Child With Osteopetrosis - A Rare Case Report
The osteopetrosis is uncommon and debilitating disorder and clinical profile range from fatality to normal life span with morbidity. The dense and sclerosed bones are fractured especially at areas of higher stress concen...
Functional And Radiological Outcome Of Midclavicular Fractures Treated With Titanium Elastic Nailing
BACKGROUND AND OBJECTIVE Our objective was to evaluate clinical and radiological outcomes ofMidclavicular fractures treated with Titanium elastic nailing. MATERIALS AND METHODS The clinical study was a prospective s...
Outcome analysis in recurrent shoulder dislocation patients treated by latarjet and modified bristow technique
INTRODUCTION: Selecting an optimal surgical procedure for patients with anterior glenohumeral instability and associated glenoid bone loss is a complex problem. Among the coracoid transfer procedures (the Modified Bristo...