Functional And Radiological Outcomes After Volar Locking Plate Fixation In Type C Distal Radius Fractures – A Retrospective Study
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2018, Vol 4, Issue 1
Abstract
Background -Open reduction and internal fixation using a volar locking plate has gained popularity for the treatment of intraarticular distal radius fractures. Purpose -To evaluate the functional and radiological outcomes of unstable intraarticular distal radius fractures after fixation with the volar locking plate. Patients and methods -A retrospective review was conducted of patients using the volar locking plate to treat intra-articular distal radius fractures. Unstable intraarticular distal radius fractures in 22 patients, comprising 17 male and 5 female with a mean age of 54.4 years (21–71 years), were treated with a volar locking plate followed up for a minimum of 2 year. Fractures were classified using the AO classification. Radiological parameters of preoperative and final follow-up radiographs were compared. The time to initiation of active range of motion was determined. Final follow-up range of motion and complications were reported. Results -At final functional assessment, all patients have good range of motion of wrist and no patient has severe pain according to the Fernandez pain score. In all patients radiological parameters are in acceptable range at final follow up. No non-union or implant failure occurred. Flexor tenosynovitis is important complication in 2 patients for which implant removal was done. Conclusion - Irrespective of the direction and amount of initial displacement, a great majority of intra-articular fractures of the distal radiuscan be managed with a fixed angle volar plate. It leads to satisfactory clinical outcome and radiological results, provided the operative technique is carefully performed to prevent complications.
Authors and Affiliations
Surendra singh yadav, Vikas singhal
Keywords
Related Articles
- EP ID EP544352
- DOI -
- Views 109
- Downloads 0
Study Of Functional Outcome With Common Forms Of Internal Fixation For Patellar Fractures
To assess the functional outcome of common surgical procedures (Figure of 8 tension band wiring, Cerclage wiring, Interfragmentary screw, Combined Tension band with Cerclage wiring) for treatment of fracture patella.
Functional Outcome Of Open Reduction And Internal Fixation Of Segmental (BIFOCAL) Forearm Fractures
Background- Segmental fractures of the forearm bones are rare and occasionally seen by trauma surgeons. These are often seen in high velocity injuries, and hence are accompanied by high degree of comminution and compound...
Assessment Of Outcome Of Proximal Humerus Fractures Treated With Various Surgical Modalities In Elderly
Displaced proximal humeral fractures when treated surgically produce less pain, less stiffness and greater ROM. Earlier the surgery better are the results. In severely comminuted fractures where anatomy cannot be restore...
Outcome Of 95 Degree Condylar Blade Plate In Complex Proximal Femur Fractures: Study Of 30 Patients
Background- Angled Blade Plates have been introduced in the 1960s by the AO and Synthes and belong still to surgeons basic armatorium used for fracture treatment, revision surgery and correction osteotomies. They serve a...
A Follow Up Study To Evaluate The Management Of Factures Of Both Bones Of Forearm In Adults Using Locking Compression Plate
Background: The fractures of either or both bones forearm are one of the commonest fractures requiring surgical intervention in adults. The advent of locking compression plate has revolutionised the treatment of diaphyse...