Surgical management of fractures of distal end radius with locking compression plate
Journal Title: Surgical Update: International Journal of Surgery and Orthopedics - Year 2018, Vol 4, Issue 1
Abstract
Background: Use of fixed angle locking plates with locking screws for fractures of distal radius support the subchondral bone and resist axial forces and an additional benefit is it provides additional strength to fixation by constructing a scaffold under the distal radial articular surface. Aim: To assess the functional outcome of fracture of distal end of radius managed with locking compression plates. Methodology: A prospective longitudinal study was conducted at our hospital for a period of two years. Totally thirty-two patients were included in the study. The fracture fragments were analysed and involvement of radiocarpal and distal radioulnar joints were assessed and classified according to the Frykman’s and AO classification. The appropriate plate is selected following the fracture reduction. Once stable fixation was achieved and hemostasis secured, the wound was closed in layers and sterile compression dressing was applied. All the patients were followed up for a period of 6 months. Results: The outcome evaluation was measured based on demerit score system of Gartland and Werley and for 97% of the patients the results was in the range of good and excellent and for only one patient it was fair and none of the patient had a poor result. Conclusion: Volar approach provides both access with minimal surgical trauma on distal radius and fixation with a better adaptation to surrounding tissues.
Authors and Affiliations
Lakshman Prasath Govindarajan, Arun Rajamanickam, Shankar Radhakrishnan
Keywords
Related Articles
- EP ID EP343486
- DOI 10.17511/ijoso.2018.i1.03.
- Views 125
- Downloads 0
A Comparative study of efficacy of Thiocolchicoside with Diclofenac vs Eperisone with Diclofenac in patients with back pain
Background: A number of drugs are available for the treatment of Low back pain (LBP) as per the available literature. This study was undertaken to compare the efficacy of Thiocolchicoside– diclofenac and Eperisone – dicl...
Comparative study of prophylactic ilioinguinal neurectomy and preservation of ilioinguinal nerve in open mesh repair of inguinal hernia
Background: Inguinal hernia is one of the most common surgery done in any hospital. Complaints of Chronic inguinal pain is one of the common problem these patients. This study aims at evaluating the long-term outcomes of...
A comparative study between plating & intramedullary nailing for displaced diaphyseal fractures of radius and ulna in adults
Background: In the current era of industrialization and with mechanized farming in India, fractures of forearm bones have become more common. The forearm serves an important role in the functioning of the upper extremity...
Comparison of PFN (Proximal femoral nail) and DHS (Dynamic hip screw) in treatment of Intertrochanteric femur fractures
Introduction: Intertrochanteric femur fractures are common in the elderly people. The frequency of these fractures has increased primarily due to the increasing life span and more sedentary life style brought on by urban...
Prediction of difficult laparoscopic cholecystectomy while working up the patient for surgery
Introduction: Laparoscopic cholecystectomy [LC] has established itself as standard of care for gallstone disease. With the wide availability of expertise, complication rate and conversion rate both are coming down. Coupl...