Role of osteotomy and T-Plating [ELLIS] in the treatment of malunited colles fracture
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 5, Issue 1
Abstract
Background: Colles Fracture is one of the commonest fracture and malunion is the commonest complication in colles fracture than any other fracture. Since its introduction by Abraham colles in 1814 its management remains a therapeutic challenge. There are various treatment modalities available for treatment of colles fracture with their own merits and demerits. Corrective osteotomy with T Plating is an effective method to treat this malunion, hence this study. Material and Methods: A Study of 25 cases of mal united colles fracture between age group of 19-65 years, treated by corrective osteotomy and volar T-Plate was carried out at AIMSR Bathinda. Movents were advised on very 1st day after surgery and stitches removed on 10-12th post operative day. Follow up was done every 3 weeks till union occurred. The results were evaluated by Fernandez criteria. Results: The average age was 42.12 years, with male predominance and mode of injury was fall on the outstretched hand in majority of patients(92%).Union occurred in 6 weeks in 56% and in 9 weeks in 36% cases. Overall results functionally and cosmetically were excellent to good in 82% of cases. Superficial infection was observed in 8% of cases, stiffness of wrist in 4% and shoulder hand syndrome in 8% of cases, 8% cases had pain at wrist which recovered with physiotherapy but One case had persistent pain and implant needed removal after the union. Conclusion: Conclusion of this study was that by osteotomy and T-Plating with ulna resection(whenever necessary) in malunited colles fracture the pain decreases, movement increases, grip becomes strong and wrist becomes better cosmetically.
Authors and Affiliations
Rajinder Kumar, Pankaj Miglani, A S Sidhu, Abhishek Garg, Vishavjeet 5
Keywords
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