TREATMENT DISTAL RADIUS FRACTURE WITH VOLAR BUTTRESS TECHNIQUE- A CLINICAL STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 21
Abstract
Distal radius fractures account for one of every six fractures that come through the emergency room. These displaced fractures pose significant therapeutic challenges. Most authors agree that the fundamental principal of treatment is to restore the articular congruity. A number of studies have indicated the inadequacy of closed reduction and casting of complex fractures of the distal radius1, 2, 3. Open reduction and internal fixation is an effective treatment option for simple fractures, but many intra-articular fractures are too comminuted for anatomic open reduction Pins and plaster treatment has been used successfully to maintain length and palmar and radial tilt of the distal radius. However, this method has been associated with high complication rates 4 A stable internal fixation with buttress plate permits early motion of the neighboring joints and optimizes functional rehabilitation of the wrist and hand.4, Many studies have shown that dorsal approach is associated with many complication and volar having advantage. We have used volar approach for our fixation. When communition is more not allowing placement screw we have used plate as just buttressing and either external fixator or cast or pinning as supporting fixation for 3 weeks. 3, 4, 5, 6, 7
Authors and Affiliations
Neelanagowda Patil, Lingaraj , Kaladagi P. S, Paramanda Hospeti, Nizamuddin
Keywords
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- EP ID EP117352
- DOI 10.14260/jemds/747
- Views 92
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