Randomized Study of Functional Outcome of Patients with Lower End Radius Fracture Treated with Distal Locking Radius Plate
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 2
Abstract
Background: The best treatment for an inadequately reduced fracture of the distal part of the radius is not well established. We collected prospective outcomes data for patients undergoing open reduction and internal fixation of an inadequately reduced distal radial fracture with use of the volar locking plating system. Materials and Methods: Over a six month period, 20 patients underwent open reduction and internal fixation of an inadequately reduced distal radial fracture with use of the volar locking plating system. All the patients were subjected to clinical examination. Radiographic evaluation of the affected & the normal side was done at the time of injury with the anterio-posterior and lateral views. The radiographs were assessed in terms of loss of palmar tilt or presence of dorsal tilt, radial shortening and loss of radial inclination. Follow up of six months with an average age of 40 yr. Results: 20 out of 20 fracture united following osteosynthesis. Average time to union was 16 weeks. All Michigan Hand Outcomes Questionnaire domains approached normal scores at four months, with small continued improvement to six months. Conclusion: The volar locking plating system appears to provide effective fixation when used for the treatment of initially inadequately reduced distal radial fractures.
Authors and Affiliations
Vaibhav Agrawal
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