Unstable Distal Radius Fractures Treated by Volar Locking Anatomical Plates
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 1
Abstract
Introduction: Fracture of the distal end of radius represents the most common fracture of the upper extremity accounting for approximately 16-20% of all fractures. Plating is now emerging as the gold standard for management of distal radius fractures due to increased rate of complications such as malunion, subluxation/ dislocation of distal radio-ulnar joint or late collapse of fracture. Procedures such as closed reduction and cast immobilization, ligamentotaxis with external fixator and percutaneous pin fixation are no longer acceptable. Aim: The purpose of the study was to evaluate the functional and radiological outcome of unstable distal radius fractures treated with the volar locking plate. Materials and Methods: We reviewed 53 patients from January 2011 to December 2015, treated for unstable distal radius fractures using a volar locking compression plate. Standard radiographic and clinical assessment after 12 months (range 12- 16 months) were measured and final functional and radiological outcome were assessed using the Modified Mayo wrist scoring system and Sarmiento’s modification of Lindstorm criteria respectively. Results: There were 42 males and 11 females with an average age of 39.12±31.78 years (18-71 years). At the end of 12 months, 36 patients had an excellent radiological outcome and 10 patients had good radiological outcome as per Sarmiento’s modification of Lindstorm criteria. Eleven patients had an excellent functional outcome and 26 patients had a good functional outcome as per modified Mayo wrist scoring system. There was one case of superficial wound infection which subsided with intravenous antibiotics. Conclusion: The volar locking plate fixation helps in early mobilization of the wrist, restores anatomy, allows early return to function, prevents secondary loss of reduction and hence is an effective treatment for unstable fractures of the distal radius.
Authors and Affiliations
Anto Jose, Shishir Murugharaj Suranigi, Pascal Noel Deniese, Abey Thomas Babu, Kanagasabai Rengasamy, Syed Najimudeen
Keywords
Related Articles
- EP ID EP328458
- DOI 10.7860/JCDR/2017/24114.9261
- Views 157
- Downloads 0
High Yield Expression and Modified Purification of Novel Recombinant Truncated Protein FimH.MrpH against Urinary Tract Infections by Escherichia coli and Proteus mirabilis
ABSTRACT Introduction: Urinary Tract Infections (UTIs) rank third among the list of most common bacterial infections. FimH and MrpH are the most important antigens of Escherichia coli and Proteus mirabilis isolates, resp...
Hair, Nails and Oral Mucosal Disorders among People Living with Human Immunodeficiency Virus and AIDS in Osogbo and Diagnostic Performance on Low CD4 Cells Count
Introduction: The epidemic of HIV/AIDS continues amidst reduce funding in most low and middle-income countries. The need to find low-cost clinical equivalents of the laboratory markers of immunosuppression, therefore bec...
Corneal Collagen Cross-linking for Treatment of Bacterial and Herpetic Keratitis
Introduction: Optimal management of infective keratitis is a formidable challenge and subject of ongoing studies. Recently, Collagen Cross-Linking (CXL) of the cornea has been considered to be a new effective therapeutic...
Effect of Oxytetracycline on In vitro Mineralization and Demineralization Reactions in the Absence and Presence of Collagen
Introduction: Oxytetracycline and its derivatives are routinely used to treat various ailments have also been shown to inhibit embryonic bone formation, mineralization in pregnant female rats and parathyroid hormone indu...
A Swimmer in a Sea of Tumour
Letter to Editor