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 104
- Downloads 0
ACL Reconstruction With Patellar Tendon And Hamstring Grafts – Which Is A Better Choice??
Background and Objectives: Young patients with ACL tear are prone for subsequent injury to menisci and cartilage eventually triggering a process of rapid degeneration. These people do well with early ACL reconstruction....
Computerized Tomographic Morphometric Study Of Last Thoracic And All Lumbar Pedicles In The Indian Population Related To Pedicle Screw Fixation
Transpedicular fixation of the spine with pedicular screws is becoming increasingly popular being more stable and versatile as it provides three dimensional fixations. Several systems of internal fixation that uses the p...
Functional And Radiological Outcomes After Volar Locking Plate Fixation In Type C Distal Radius Fractures – A Retrospective Study
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 outco...
Assessment And Evaluation Of Patellofemoral Instability On Magnetic Resonance Imaging
Background: Patellofemoral instability is a common clinical problem. Risk factors predisposing to patellar dislocation include ligamentous laxity, femoral or tibialmalrotation, patella alta or femoral trochlear dysplasia...
Management of displaced middle third clavicular fractures with superior reconstruction plating
Background :The management of clavicle fractures is inclining towards fixation for displaced middle-third clavicle fractures as the conservative treatment gives poor results. There was no evidence to suggest that early o...