Functional outcome in patients with distal radius fractures treated with fragment specific fixation at tertiary care teaching hospital
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 1
Abstract
Introduction: Aim of this study was to study the functional outcome in patients with distal radius fractures treated with ORIF with 2.7mm distal radius plates at 6 months using PRWE score. To study how early the patients can resume activities of their daily living and study various complications related to fragment specific fixation. Methodology: It was a prospective study. All the patients underwent open reduction and internal fixation using fragment specific locking plates based on fracture patterns. Patients were followed up regularly up to 6 months post op. Functional outcomes were analyzed after 6 months of fixation using patient rated wrist evaluation score. Results: In our study 84.38% patients were male (n 27) with average age being 38.59 years. Right side was the dominant wrist seen in 56% patients (n 18). Most common mechanism of injury was to road traffic accidents. Average time from injury to surgery was 7.06 days and average PRWE score by the end of 6 months was 16.53. Excellent outcomes were seen in 71.88% patients (n 23), good in 18.75% (n 6). Superficial infection, secondary collapse and stiffness and numbness were most common complications seen in 2 patients each. 31 patients had fracture union within 3 months and 30 patients returned to pre injury level of activities within 6 months. Conclusion: We conclude from our data that among various fixation methods, fragment specific fixation provides stable and reliable fixation with good functional outcomes as shown by excellent PRWE scores.
Authors and Affiliations
Dr. Paramesha KC, Dr. Rahul Bansal
Keywords
Related Articles
- EP ID EP485752
- DOI 10.22271/ortho.2018.v4.i1m.130
- Views 107
- Downloads 0
Functional outcome of displaced proximal humerus fractures treated conservatively versus open reduction internal fixation with locking compression plate
Introduction: The field of orthopedic surgery has been in the vanguard in creating new information, establishing new principles of treatment and solving both new and old problems of musculoskeletal system. Fractures of p...
Functional outcome after surgical fixation of middle third clavicular fractures by titanium elastic nailing system (TENS): A prospective study
This study is based on the technique of minimally-invasive osteosynthesis using Titanium elastic nails (TENS) in OTA Type a midclavicular fractures with displacement or shortening more than 2 cm. The aim of the study was...
Minimally invasive percutaneous plate osteosynthesis (MIPPO) in distal tibia fractures-retrospective functional and radiological outcome analysis among rural population
Background: Distal tibia fractures are one of the common fractures and results from indirect coronal or direct axial compression forces. These fractures encompass many and varied fracture configurations that involve medi...
Cage vs autologous bone grafting in PLIF surgery for spine fusion- randomized control trial
Introduction: Posterior lumbar interbody fusion (PLIF) is been used increasingly for degenerative lumbar spine disease to achieve a 360 degree fusion. With the advent of newer techniques and instrumentations the results...
Medial parapatellar versus subvastus approach in total knee arthroplasty
Background: Component alignment is one of the most important factors for long term survival after total knee arthroplasty. The medial parapatellar and subvastus are two commonly used surgical approaches in total knee art...