Outcome of treatment of distal radial fractures with volar locking plate
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2017, Vol 21, Issue 3
Abstract
Background: Fractures of distal end radius continues to be most common skeletal injuries of upper extremity and remains a challenge for the orthopaedic surgeons. The purpose of this prospective study was to assess the efficiency of volar locking plate fixation with regards to functional outcome and complications. Methods: Patients with distal radial fractures from June 2013-Sept 2015 in Dept of orthopaedics, Govt Medical College, Latur were admitted and treated in the form of volar locking plate. (Total 40 patients) The modified Green and O’Brien wrist score system was used for analysis of functional outcome. Results: Out of 40 patients, 17 (42.5%) were male and 23 (57.5%) were female patients. According to Frykman’s classification, there were 5 (12.5%) patients of Type I, 13 (32.5%) patients of Type II, 3 (7.5%) patients of Type III, 3 (7.5%) patients of Type IV, 4 (10%) patients of Type V, 4 (10%) patients of Type VI,3 (7.5%) patients of Type VII and 5 (12.5%) patients of Type VIII. At final functional assessment, 29 patients (72.5%) achieved excellent, 9 patients (22.5%) achieved good results and 2 patients (5%) achieved fair results. All of the patients returned to their regular employment. Complications in the form of stiffness was seen in 2 (5%) of the patients, malunion was seen in 2(5%) of the patients, neurovascular complication was seen in 1 (2.5%) of the patient, superficial infection was seen in 1(2.5%) of the patient and tenosynovitis was seen in 2(5%) of the patients. Conclusion: Volar locking compression plating system is an effective treatment modality for functional and anatomical restoration of distal end radius fractures.
Authors and Affiliations
Ranjeet Hakepatil, Shrikant Gore
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