Functional outcome of fixation of unstable distal end radius fracture with volar buttress plating, A prospective study
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Background: Distal end of radius fracture accounts for 17% of all fractures in adults. The primary goal of treatment is to return the patient to his or her pre fracture functional status and to independent to carry out there daily needs. There are multiple options for distal end radius treatment, CRIF with K wire / external fixator, But there are disadvantages like malunion, pin tract infection, which may results in poor range of movement. Hence ORIF with volar plating is commonly done for unstable distal end radius. Materials and methods: In this study 30 patients with age above 18 years with distal end radius fractures treated with ORIF with volar plating. same post operative protocol, complications of surgery Intra operative and post operative were observed, functional outcome of all patients were recorded at regular follow up assessed with modified Gartlad & Werley’s wrist grading system. Results: In ORIF with volar plating, we noted patient with poor outcome of 10%, fair outcome of 23.33%, good outcome of 50% and excellent outcome of 16.67% at the end of 6 months. With mean range of movement Flexion =66.50, Dorsiflexion = 69.830, Radial deviation =18.830, Ulnar deviation =27.170, Pronation 700, Supination =72.670 and patient with satisfactory ROM with no complications. Conclusion: ORIF with volar plating is a successful procedure for distal end radius fractures. Early return to pre morbid level of activity and functions occurs very swiftly.
Authors and Affiliations
Dr. Shushrut B Bhavi, Dr. Girish Naikwadi
Keywords
Related Articles
- EP ID EP501593
- DOI 10.22271/ortho.2017.v3.i3o.157
- Views 98
- Downloads 0
A prospective study of 30 cases of PHILOS plating for displaced proximal humeral fractures
Introduction: Fractures of proximal humerus is still unsolved fractures in many ways. The Proximal humeral internal locking system (PHILOS) plate fixation provides greater angular stability, works as a locked internal fi...
A prospective study to evaluate the functional outcome of sub-trochanteric femur fractures with long proximal femoral nail
Introduction: Sub-trochanteric fractures of the femur remains one of the most challenging fractures faced by orthopaedic surgeons. This study was done to analyse the functional outcome of management and complications of...
A study of humerus shaft fractures treated with dynamic compression plating
Background and Objective: Management of humeral shaft fractures has historically been largely conservative. A significant body of literature has shown that functional bracing may achieve greater than 90% union rates and...
Management of displaced intraarticular calcaneal fractures by minimally invasive technique: A prospective study
Introduction: Intra-articular calcaneal fractures are conventionally treated by extensive open surgical reduction to achieve anatomical reduction of the subtalar joint and also to maintain the calcaneal height and width....
Craniovertebral junction tuberculosis with Subluxation
Tuberculosis of the Craniovertebral junction is a rare and potentially dangerous condition. Neurological complications are more serious and common than with that of other vertebrae. Hence the need for early recognition a...