Functional Outcome after Surgical Stabilization of Fractures of Distal End of Radius with or Without Ulnar Styloid Fractures- A Comparative Study
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 4
Abstract
Background: The impact of an unrepaired fracture of the ulnar styloid process on recovery after internal fixation of a fracture of the distal part of the radius is uncertain. We evaluated a series of patients with an internally stabilised fracture of the distal part of the radius to test whether there is any difference in wrist motion or function scores between those with an untreated fracture of the ulnar styloid process and those with no ulnar fracture. Materials & Methods: The present study was a prospective comparative study conducted between April 2015 to November 2015. Total 60 patients have been operated with open reduction and internal fixation with plating. 52 patients who fulfilled the inclusion criteria were taken up for study and grouped into two groups at 1:1 ratio. The average follow up period was 6 months. Patients were followed up in the outpatient department on 10th post operative day for suture removal, and further at 4 weeks,8 weeks,12 weeks, 16 weeks, 20 weeks, 12 months postoperatively and were analysed with wrist ROM, DASH score, Gartland and Werley system and visual analogue score. Results: In the present study 52 cases are included, GROUP A-26, GROUP B-26, GROUP A: distal radius fractures without ulnar styloid fracture, GROUP B: distal radius fractures with ulnar styloid fracture. The two groups were comparable with regard to age, gender, side of the fracture, type of the fracture and nature of injury. All patients were operated under general anaesthesia. We found out that the variables compared between patients with ulnar styloid fractures and without ulnar styloid fractures like Wrist range of movements, DASH Score, Gartland and Werley System score and visual analogue scale differences were statistically insignificant. One patient had a superficial infection which subsided with antibiotic therapy and three patients had malunion which did not affect the final functional outcome. Conclusion: An unrepaired fracture of the ulnar styloid process does not appear to influence functional outcome after treatment of a distal radial fracture with plate-and-screw fixation.
Authors and Affiliations
Dr R. Srikanth Varma
Keywords
Related Articles
- EP ID EP281395
- DOI -
- Views 68
- Downloads 0
Blood Sugar & Vitamin B12 Level in Psoriasis Patients in Relation to Diabetes Mellitus and Hyper Tension
Background: Psoriasis is a chronic disfiguring inflammatory and proliferative condition of the skin in which both genetic and environmental influences have a critical role. Several reports have shown an increased risk fo...
Microbiological Pattern in Sputum Culture in Patients of Lung Abscess
Abstract
Spectrum of Nephrotic Syndrome in Adults: Experience in Single Tertiary Care Centre
The last decade has seen great advances in our understanding of the nephrotic syndrom. There are two ways in which one may define the nephrotic syndrome. One is clinical and comsprises massive albuminuaria, hypoaIbuminae...
Spectrum of Histopathological Changes of Endometrium in Dysfunctional Uterine Bleeding - A Hospital Based Study
DUB is the most common complaint in gynaecology outpatient department. Histopathological evaluation of endometrial tissue plays a significant role in the diagnosis of DUB. The study was carried out to determine the spect...
Effectiveness of Oral Iron Regimens on Hematological Parameters in Pregnant Women Presenting with Iron Deficiency Anemia (IDA) in Tertiary Care Hospital
Objective: Present study was longitudinal and randomized study. The Aim of present study was to evaluate the relative effectiveness of two different oral Iron regimens on hematological parameters among anemic pregnant wo...