Management of intra articular fractures of distal radius with variable angled locking compression plate -midterm outcome analysis
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 3
Abstract
Introduction: Fractures of distal radius remains one of the most challenging fractures treated by orthopaedic surgeons. The aim of this study is to analyse the functional outcome in intra articular distal radius fractures treated with variable angled volar locking plate. Aim of the Study: The aim of this study is to analyse the functional outcome in intra articular distal radius fractures treated with variable angled volar locking plate. Materials and Methods: From May 2016 to November 2017, consecutive patients with intra articular distal radius fractures were included in the study. All subjects were recruited, operated, and assessed at Department of Orthopaedic Surgery, RMMCH, Annamalai University, Chidambaram, Tamilnadu. The patients were followed up for a minimum of 6 months. The results were evaluated using Gartland and Werley scoring system for wrist. Results: Of the forty wrists operated, according to demerit system of Gartland and Werley, 25 cases were males and 15 cases were females of which 28 cases were right and 12 cases were left wrists, the most common mode of injury being fall on out stretched hand accounting for 80% of cases, the average time for surgery was 5 days from the date of admission, a below elbow slab was applied on the day of admission till surgery. Excellent to Good results were obtained in 38 wrists i.e. 95%. Fair results were obtained in two wrists (5%). None of the patient showed poor results. Two patients showing fair results had wrist stiffness mainly attributable to patient’s noncompliance to Physiotherapy. No major complication was noted in our study. Conclusion: Variable angled volar locking plate is the implant of choice in Comminuted Intraarticular distal radius Fractures. Use of locked variable angled plate predictably yields better patient reported outcome as per Gartland and Werley scoring system and allows earlier range of wrist motion which yields accelerated return of function necessary for our Indian population.
Authors and Affiliations
Dr. A Manikandarajan, Dr. Dhanpal Singh, Dr. Sharath Kumar M, Dr. PS Balamurugavel
Keywords
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- EP ID EP487690
- DOI 10.22271/ortho.2018.v4.i3l.112
- Views 83
- Downloads 0
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