Surgical treatment of distal end of radius fracture with volar locking plate: Clinicoradiological outcome of 25 cases
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 3
Abstract
Introduction Distal radius reconstruction every time needs aggressive operative intervention is still a debate among researchers and upper extremity surgeons There is a role of nonoperative treatment in geriatric population and unfit patients Novel techniques and revolution of implants advocated the best clinical outcomeMaterials and Methods We conducted a prospective study of 25 patients having AO OTA type A B C distal radius fractures treated with volar locking plate at our institute between 2015 to 2017 We include all close injuries in skeletally mature patients between ages 2060 years Outcome of the study was evaluated by using the Gartland and Werley score modified by Sarmiento Patient Rated Wrist Evaluation PRWE scoreResults 6 patients had AO OTA type A 11 patients had type B and 8 patients had type C fractures Mean palmar flexion was 77 degrees Dorsi flexion was 82 degrees observed Average supination and pronation were 85 80 degrees respectively Radial ulnar deviations average 11 and 25 degrees were observed 80 of the patients had loss of radial inclination less than 9 degrees All the patients had less than 6 mm radial shortening Loss of palmar tilt less than 6 degrees was observed More than 90 of the patients had excellent to good outcome based on Gartland and Werley scoreConclusionsVolar plating is a proven method of choice in majority of distal end radius fractures regardless of comminution and fragments separation Keywords Distalradius fractures Internal fixation Volar plate AO OTA fractures
Authors and Affiliations
Parag M. Tank, Ejajahmed Ansari, Rajesh V. Chawda, Vijay J. Patel, Nimish B. Patel
Keywords
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- EP ID EP476643
- DOI 10.18231/2395-1362.2018.0052
- Views 79
- Downloads 0
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