Outcome Of Intraarticular Distal Radius Fracture In Adults Treated By Open Reduction And Internal Fixation With Volar Buttress Plate
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 1
Abstract
Background: Distal radius fracture with intra-articular extension (AO Type C1, C2 and C3) is a major cause of severe morbidity in patients with upper extremity injuries. Aims: The purpose of this study was to evaluate the functional outcome of distal radial fractures in adults treated with open reduction and internal fixation with buttress plate and screws. Study design: Prospective study Materials and methods: This prospective study was carried out at Orthopaedics department of School of Medical Sciences and Research, Sharda University from December 2010 to December 2014. . A total of 170 patients with intraarticular fractures of the distal radius were recruited from Emergency and outpatient department and treated with buttress plate and screws. The patients were evaluated according to standard objective and subjective criteria using demerit-point system of Gartland and Werley. Results: All fractures united in average 3.2 months (range 7-19 weeks). The results were excellent in 66.47% (113/170) patients, good in 22.35% (38/170), fair in 7.05% (12/170) and poor in 5.83% (7/170) patients at final follow-up. Complications found in 22.35% patients who had insignificant delayed unions (which were united next 3 weeks) and 7.05% (12/170) insignificance malunion. 5.83% (7/170) patients had only pain with activity, but a “poor” result due to wrist and finger stiffness. Conclusion: As per our results, excellent to good results were found in 66.47% of patients. So we conclude that this procedure is acceptable and it can be used as an alternative to other procedures in treating comminuted intra-articular fractures of distal radius.
Authors and Affiliations
Ramji Lal Sahu, Rajni Ranjan
Keywords
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