Title: Comparison of volar locking compression plate Versus External Fixator in the Treatment of Distal Radius Fractures

Authors: Dr M.K. Aseri, Dr. Pradeep K Sharma, Dr. Vardha Ram, Dr Deepesh Ameriya, Dr Navin Mewara, Dr Rahul Anand

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i5.98

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.

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Corresponding Author

Dr Pradeep K Sharma

Assistant Professor, Dept. of Orthopaedic,

Dr. S.N. Medical College, Jodhpur, Rajasthan