FUNCTIONAL OUTCOME OF COMMINUTED INTRAARTICULAR DISTAL RADIUS FRACTURES TREATED WITH FRAGMENT SPECIFIC FRACTURE FIXATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 5
Abstract
BACKGROUND Distal radius fractures are one of the most common fractures encountered in orthopaedic practice. Plate fixation of distal radius is one of the commonest modalities of treatment of distal radius fractures. This study focuses on fixation of comminuted intraarticular distal radius fractures based on the fragments involved according to Medoff classification. If the volar rim is involved, volar locking plates are used. If the dorsal wall is involved, dorsal locking plates are used. If the radial column is involved, radial plates are used. For involvement of multiple fragments, combination of plates are used. Various approaches are used for plating on different fragments. Low profile plates are used in this study to avoid soft tissue complications. The aim of this study is to assess functional outcome of comminuted intraarticular distal radius fractures treated by fragment specific fracture fixation. Study Centre- Govt. Kilpauk Medical College. Study Design- Prospective study. RESULTS 20 patients with comminuted intraarticular distal radius fractures were treated with low profile plates and were assessed with Gartland and Werley scoring system. 15 patients (75%) had excellent results and 5 patients (20%) had good results. CONCLUSION We conclude that using low profile plates for distal radius fractures gives excellent outcome and using combination of low profile plates in comminuted intraarticular distal radius fractures is a very good option.
Authors and Affiliations
Mohan Ganesan, Nirmal Mohan
Keywords
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- EP ID EP368760
- DOI 10.14260/jemds/2018/156
- Views 79
- Downloads 0
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