Results of distal end radius volar plating
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 1
Abstract
Background: Fractures of distal end of radius are one of the most common skeletal injuries treated by orthopaedic surgeons. Road traffic accidents are a major cause of fracture in young adults. In elderly fall on outstretched hand becomes a major cause. Road traffic accidents are a major cause of fracture in young adults. In elderly fall on outstretched hand becomes a major cause. For quite a long time, principle treatment of Colles’ fracture was forceful traction, manipulation and immobilization of wrist in flexion and ulnar deviation. The extremes of this position (cotton lodor) led to very high incidence of median nerve neuropraxia. The exact position of immobilization and plaster cast extent varied, nevertheless treatment essentially remained same. This study evaluates the results of distal radius fractures (volar barton) treated by open reduction and volar plating. Materials and Methods: A retrospective study of 40 patients of DISTAL END RADIUS FRACTURES operated with open reduction and internal fixation with volar plate with follow up of at least 6 months. The patients were operated with volar approach and fixation was carried out by AO principles. The patients were mobilized post operatively by active and assisted physiotherapy. Results: The mean age of the patients was 39.27 years with M:F ratio of 7:1. Right side was more involved than the left side and most common cause of injury was fall on an outstretched hand. Most fractures were of Frykman type 7. Post operative assessment was carried out in terms of range of movement, radiological parameters and functional outcomes were assessed in terms of Gartland and Werley scores and PRWE scores. Discussion and Conclusion: This is a study of 40 patients of distal end of radius fracture treated by volar plating. This study is essentially preliminary assessment. The technique emphasizes that open reduction and internal fixation with volar plating has excellent functional outcome with minimal complications. Hence volar approach and locking plate should be the preferred implant for treatment of intra articular (volar barton), unstable, comminuted fractures of distal end radius.
Authors and Affiliations
Dr. Manthan Mandalia, Dr. Sharvil Gajjar, Dr. Tailor Anand, Dr. Shrey Saxena
Keywords
Related Articles
- EP ID EP499948
- DOI 10.22271/ortho.2017.v3.i1f.60
- Views 101
- Downloads 0
Early results of primary bipolar hemi arthroplasty in treatment of unstable intertrochanteric fractures in elderly patients: A prospective study
Background and Objectives: Unstable intertrochanteric fracture in elderly is a challenging surgical condition with a high risk of morbidity and mortality. The aim of this study is to evaluate the results of bipolar arthr...
Functional assessment of tibial plateau fracture by various modalities of treatment
Background: Tibial plateau is the most important weight bearing surface. These intraarticular fractures are difficult to treat and presented with different fracture morphology. Due to in-crease in incidence of high veloc...
A prospective study on clinical outcome following surgically managed displaced clavicle fractures using pre-contoured locking plate and screws
Background: Most acute displaced clavicular fractures conventionally have been treated non-operatively with the expectation of a high probability of fracture union, good functional outcomes, and a high level of patient s...
Clinical outcome of radiosynovectomy in haemophilia a patients with chronic knee synovitis
Aim: There are various medical and surgical modalities available at breaking the vicious cycle of synovitis–hemarthrosis-synovitis at an early stage of synovitis in patients of haemophilia. Our study was planned to asses...
To evaluate the long-term results and to identify predictive factors of functional outcomes of floating shoulders treated either conservatively or surgically
Introduction: The ‘floating shoulder’ is a rare injury [1] consisting of ipsilateral fractures of the clavicle and glenoid neck. It was first described by Ganz and Noesberger in 1975. Subsequently, Goss expanded on their...