Volar locking plate is a better option for the treatment of distal end radius fractures-our experience in 30 cases: A prospective study
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
Distal end radius fractures constitute 17% of all fractures and 75% of all forearm fractures. Due to population explosion, aging society, & enormous increase of high-speed RTAs’, these fractures are expected to increase in the coming decades. Hence the distal radius fracture requires a new reassessment and a new concept for adequate and optimized timely treatment. Various surgical techniques have been reported in literature but open reduction and internal fixation with a volar plate system is currently advocated for the treatment of distal radius fracture resulting in good reduction and immediate stability. It has become popular because it a.Provides direct control and maintainance of physiologic palmar tilt, b.Prevent collapse and c.Avoid bridging the radio carpal joint. The purpose of this study was to evaluate functional outcome in patients with distal radius fractures treated with a fixed angle locking compression plate in terms of union, restoration of alignment and function and complications. Material and Methods: The study was conducted at Medical College in AP from September 2016 - February 2018. Thirty patients with distal radius fractures (18 males and 12 females) were treated by open reduction and internal fixation with volar locking plate. Results: The results were assessed using the demerit score system of Gartland and Werley based on objective and subjective criteria, residual deformity and complications. We had 20 (67%) excellent, 6 (20%) good, 4 (13%) fair results and no poor results. Conclusion: We conclude that Locking plates by volar approach provide successful results for the treatment of both extra articular and intra articular unstable fractures of distal radius.
Authors and Affiliations
Dr. Sudhir KAM Shandilya, Dr. Irrinki Suresh, Dr. Sravan Chandar Dutta, Dr. Savana RN Chakravarthy, Dr. TVS Subbarayan
Keywords
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- EP ID EP487777
- DOI 10.22271/ortho.2018.v4.i4c.30
- Views 105
- Downloads 0
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