Volar Locking Plate Fixation Of Unstable Distal Radius Fracture – A Retrospective Study
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 1
Abstract
Background: Unstable distal end radius fractures are difficult to manage and a range of treatment options are available to surgeons. Open reduction and internal fixation (ORIF) with an angular stable locking plate applied to the volar surface has gained vast popularity. Objectives : To evaluate the functional and radiological outcome of treating unstable distal radius fractures with fixed angle locking plate applied through volar approach. Materials and Methods : We reviewed the records of all patients with unstable distal end radius fractures that were treated at a tertiary care rural hospital between January 2012 and December 2015. 42 patients with 44 unstable distal radius fractures were analyzed. Patients with follow-up periods shorter than 6 months were excluded from the study. The range of motion of the wrist and forearm, grip strength, and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire were used to assess clinical and functional outcomes. The three radiographic parameters (volar tilt, radial inclination, and radial length) were assessed to evaluate radiographic outcomes. Results : We analyzed 42 patients with a mean age of 47.6 years. The average follow-up period was 21 months. The range of movement of the wrist was very satisfactory, and the mean grip strength was 82% of the unaffected wrist. The average DASH score was 12. Restoration of volar tilt, radial inclination and radial length was also highly satisfactory. All fractures healed by 3 months post injury. The complication rate was 11.9%, including the loss of reduction in two patients. Conclusion : Internal fixation of unstable distal radius fractures with a fixed angle locking plate applied through a single volar approach provided a stable fixation with good clinical and radiological outcomes.
Authors and Affiliations
Roshan S D, Ranganath N, Subrahmanya M P, Chennakeshava Rao G
Keywords
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