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 101
- Downloads 0
Steffee plating in management of fracture spine
Introduction: The diagnosis of a broken back has carried an ominous prognosis, since antiquity. In the writings of ancient Egyptians, as recorded in Edwn Smith papers, traumatic quadriplegia was considered a, “condition...
Effectiveness of ultrasound therapy versus steroid injection in plantar fasciitis patients in western region of Nepal
Background: Plantar fasciitis is a common painful disorder affecting the heel and plantar aspect of the foot. There are various methods of treatment like steroid injection, nonsteroid anti-inflammatory medication, iontop...
Bone cement
Polymethyl methacrylate (PMMA) bone–cement was introduced in the 1960s for fixation of total hip arthroplasty replacement components. The use of PMMA bone cement has been a key factor in the advent of joint replacement a...
Functional outcome of management of infected nonunion of humerus by limb reconstruction system (LRS)
Introduction: The infected non-union of humerus resulting from surgical intervention to achieve bone healing are very difficult to manage by traditional methods. Materials & methods: We treated 20 infected non-union of d...
Evaluation of outcome of distal metaphyseal extraarticular tibia fractures treated by locking plates and intramedullary nailing in medical college setup
Background: Distal tibia metaphyseal extra articular fractures are associated with great dilemma for operating surgeon. It is associated with high rate of delayed and non-union due to precarious blood supply and less mus...