Locking Plate Osteosynthesis for Distal Radius Fractures
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 6
Abstract
Introduction: Fracture of distal end radius is a common problem having various methods of treatment. Open reduction and plating maintains the fractured fragments in position till healing. This study is done to evaluate the results of locking plate fixation in distal end radius fractures. Materials and Methods: This is a prospective and retrospective study conducted in the Saifee Hospital. It includes a study of 36 cases of fracture lower end radius operated with locking plate from Aug 2011 to Nov 2013. The patients were classified according to Gartland and Werley Classification. For statistical analysis we used a students âtâ test with 95% confidence intervals. Significance was set at P=0.05 Results: 23 (63.90%) was affected by the type III fracture as per Gartland & Werley classification. 12 patients (33.30%) had Type I fracture while 1 patient (2.80%) had type II fracture. We achieved excellent results for 5 patients (13.90%), while 27 patients (75%) got good results. The commonest complication reported was Tenosynovitis / Tendon Adhesion (11 cases). The other common complications found were 8 cases of DRUJ Tenderness and 4 cases had hardware related complaints. The surgical technique is important in reducing complications. Conclusion: Patients have good outcome provided that correct and precise surgical technique is used, proper anatomical reduction of articular fragment and buttressing with locking plates are done.
Authors and Affiliations
Sanjeev Kumar, Ritesh Kumar, Bhupesh Patel
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