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
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