Abstract
Background: This is a prospective study was done to compare results of locking compression plate to external Fixator in treatment of fracture distal end of radius
Methods: This study was conducted on 50 patients who were treated with operative fixation of fracture distal end of radius by locking compression plate and 25 cases were treated with external fixator in Department of Orthopaedics at Dr. S. N. Medical College Associated Hospital, Jodhpur within period of September 2014 to December 2017.
Results: The present study showed that the maximum no of cases were found in 31-50 years of age in both groups, male to female ratio was 3:2 in group I & 2.5:1 in group II and right side were more affected .End result by Gartland and Werley Scoring was statistical significant in group I 68% excellent as comparec to group II 32%.
Conclusion: Volar LCP plate had benefit of early physiotherapy and will improve patient function regardless of radiological outcome, with lower complication rate as compare to external fixator like residual joint stiffness, pain and arthritis. The functional outcome in younger patients suggests that proper articular reconstruction is essential and regular follow-up radiographs are required to assess that reduction of the fragments is maintained till fracture union is achieved
Keywords: Volar locking plate, External fixation, Fracture, Distal end of radius.
References
- Fernandez DL, Palmer AK. Fractures of the distal radius.In: Green DP, Hotchkiss RN, Pederson WC, editors.Green's operative hand surgery. 4th ed. New York: Churchill Livingston; 1999. P 929-85.
- Simic PM, Weiland AJ. Fractures of the distal aspect of the radius: ''changes in treatment over the past two decades.lnstrCourse Leet.2003;52:185- Review.
- Broos PL, Swerman A. From unstable internal fixation to biological osteosynthesis. A historical overview of operative treatment. ActaChir Belgium 2004; 104(4):396-400.
- Sommer C, Gautier E Muller M, Helfet DL, Wagner M. First clinical results of the locking compression plate (LCP). Injury 203; 34(2):43-54.
- Wagner M. General Principles for the clinical use of the LCP. Injury 34 (2003):B31-B42.
- KW Chan, TK Kwok, KH Mak. Early experience with locking compression plate in treatment of distal radial fractures. Hongkong J Orthop Surgery 2003; 7:88-93.
- Egol, M. Walsh, N. Tejwani, T. McLaurin, C. Wynn, N. Pakisma, Bridging external and supplementary Kirchner-wire fixation versus volar locked plating for unstable factures of the distal radius. Journal of Bone and Joint Surgery 2008-British Volum-90B;1214-21.
- Gartland JJ jr, Werley CW. evaluation of healed Coolle's fracture. J. Bone Joint surgAm. 1951, 33(4)895-907.
- Rakesh K Yalavarthi. Outcome of Management of Distal Radius Fractures By Ligamentotaxis. e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 14, Issue 7 Ver. II (July. 2015), PP 33-37
- Rajeev Shukla .A multifactorial study of application of Joshi‟s External Stabilizing System indisplaced Distal End Radius Fractures.Indian Journal of Basic and Applied Medical Research; December 2013: Vol.-3, Issue-1, P. 165-171.
- Alam W, Shah FA, Qureshi KM, Shams ur Rehman, Hussain S, Imran M. Intraarticular fractures of distal radius; outcome of treated with bridging (static) external fixator. Professional Med J 2014;21(4): 649-653.
- Anderson JT, Lucas GL, Buhr BR. Complications of treating distal radius fractures with external fixation: a community experience. Iowa Orthop J 2004;24:53–9.
- Hutchinson DT, Strenz GO, Cautilli RA. Pins and plaster vs external fixation in the treatment of unstable distal radial fractures. A randomized prospective study. J Hand Surg [Br] 1995;20:365–72.
- Dicpinigaitis P, Wolinsky P, Hiebert R, et al. Can external fixation maintain reduction after distal radius fractures? J Trauma2004;57:845–50.
- Musgrave DS, Idler RS. Volar fixation of dorsally displaced distal radius fractures using the 2.4-mm locking compression plates. J Hand Surg [Am] 2005;30:743–9.
- Orbay JL, Fernandez DL. Volar fixation for dorsally displaced fractures of the distal radius: a preliminary report. J Hand Surg [Am] 2002;27:205–15.
- Orbay JL, Fernandez DL. Volar fixed-angle plate fixation for unstable distal radius fractures in the elderly patient. J Hand Surg[Am] 2004;29:96–102.
- Fernandez DL. Should anatomic reduction be pursued in distalradial fractures? J Hand Surg [Br] 2000;25:523–7.
- Krishnan J, Wigg AE, Walker RW, et al. Intra-articular fractures of the distal radius: a prospective randomised controlled trial comparing static bridging and dynamic non-bridging externalfixation. J Hand Surg [Br] 2003;28:417–21.
Corresponding Author
Dr Pradeep K Sharma
Assistant Professor, Dept. of Orthopaedic,
Dr. S.N. Medical College, Jodhpur, Rajasthan