Title: Functional & Radiological Outcome of the Volar Locking Plate Fixation for Fracture of the Distal End Radius
Authors: Dr Khajotia B.L., Dr Bhamboo Ravindra Singh, Dr Sharan Sunil, Dr Kumar Krishan
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.32
Abstract
Introduction: Fractures of the lower end of the radius are most common fractures of the upper extremity, encountered in practice and constitute 17 % of all fractures and 75% of all forearm fractures. Distal radius fractures that are caused by severe high-energy trauma, results in intra-articular involvement and comminution. The aim of this study to determine the radiological & functional outcome of distal end of the radius fracture treated by volar locking plate.
Methodology: A prospective study of the fractures of the distal end of the radius, attending the Orthopaedics outdoor and the emergency services of Sardar Patel Medical College & Associated group of Hospital, Bikaner, between July 2015 to September 2016. 25 cases were followed up at regular intervals and final assessment was done at 3 months.
Results: Analysis of this study by according to GARTLAND & WERLEY Criteria and demerit criteria modified by Sarmiento, at 6 week the functional outcome showed mean value of affected limb such as residual deformity, subjective evaluation, objective evaluation, complications and ERPR were 1.24±1.26, 3.12±1.42, 3.4±3.5, 0.4±0.5 & 8.08±4.90 respectively and at 12 week were 0.92±0.95, 1.28±1.27, 1.48±2.28, 0±0 & 3.68±3.497 respectively.
Conclusion: It is concluded that 93% anatomical and 90% functional, excellent to good results, suggests that stabilizing the fracture fragments with volar plate and screws in the management of the fractures of distal radius, is an effective method to maintain the reduction till union and prevent collapse of the fracture fragments, even when the fracture is grossly comminuted/intra-articular/unstable and/or the bone is osteoporosed.
Keywords: Volar locking Plate, Fracture, Functional Outcome, radiological outcome.
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