A descriptive longitudinal study of functional outcome in intra-articular distal end radius fracture with volar displacement treated by locking compression plate
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20230460Keywords:
Intra-articular distal end radius fracture, Locking compression plate, Volar displacementAbstract
Background: The distal radius metaphysis is composed mainly of cancellous bone. On articular surface there is a biconcave articulating surface with the proximally placed carpal row (scaphoid and lunate fossae) and also a notch for articulation with the ulna. Objective of the research was to study the functional outcome in distal end radius fracture with volar displacement treated by locking compression plate.
Methods: A hospital based descriptive, longitudinal study was conducted with 114 patients aged between 20-60 years to assess functional outcome in patients of distal end radius fracture with volar displacement treated by locking compression plate.
Results: According to demerit point score system of Gartland and Werley, 75 (69.4%) patients had excellent score while 24 (17.5%) and 15 (13.1%) patients had good and fair score respectively. No patient had poor score. 6 (5.3%) and 2 (1.8%) patients had superficial infection and hypertrophic scar respectively while 1 (0.9%) patient had developed malunion.
Conclusions: Volar plating has excellent functional outcome with minimal complications thus proving that it is the prime modality of treatment for distal radius fractures.
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References
Egol KA, Koval KJ, Zuckerman JD. Handbook of fractures. Lippincott Williams & Wilkins. 2010.
Fitoussi F, Ip WY, Chow SP. Treatment of displaced intra-articular fractures of the distal end of the radius with plates. J Bone Joint Surg Am. 1997;79(9):1303-2.
Gerostathopoulos N, Kalliakmanis A, Fandridis E, Georgoulis S. Trimed fixation system for displaced fractures of the distal radius. J Trauma Acute Care Surg. 2007;62(4):913-8.
Ruch David S. Fractures of the distal Radius and Ulna, Chapter 26 in Rockwood and Green’s Fractures in Adults. Philadelphia: Lippincott Williams &Wikins. 2006;6:909-64.
Arora R, Lutz M, Deml C, Krappinger D, Haug L, Gabl M. A prospective randomized trial comparing nonoperative treatment with volar locking plate fixation for displaced and unstable distal radial fractures in patients sixty-five years of age and older. J Bone Joint Surg Am. 2011;93(23):2146-53.
Trumble TE, Schmitt SR, Vedder NB. Factors affecting functional outcome of displaced intra-articular distal radius fractures. J Hand Surg. 1994;19(2):325-40.
Meena S, Sharma P, Sambharia AK, Dawar A. Fractures of distal radius: an overview. J Fam Med Prim Care. 2014;3(4):325.
Mudgal CS, Jupiter JB. Plate fixation of osteoporotic fractures of the distal radius. J Orthop Trauma. 2008;22:S106-15.
Sobky K, Baldini T, Thomas K, Bach J, Williams A, Wolf JM. Biomechanical comparison of different volar fracture fixation plates for distal radius fractures. Hand. 2008;3(2):96-101.
Kumar CS, Rao DV, Sangepu A. Surgical management of fractures of distal end radius with locking compression plate. J Evol Med Dent Sci. 2015;4(80):14006-13.
Maj Chahar HS, Lt. Col. Jafri MA, Maj Rathod N. A prospective Study on Treatment of Distal Radial Fractures Using Volar Locking Plate. Int J Ortho Res. 2020;3(1):30-4.
Chavhan AN, Dudhekar UJ, Badole CM, Wandile KN. Functional and radiological outcome in distal radius fractures treated with locking compression plate. Int J Res Med Sci. 2017;5:574-82.
Chung KC, Watt AJ, Kotsis SV, Margaliot Z, Haase SC, Kim HM. Treatment of unstable distal radial fractures with the volar locking plating system. J Bone Joint Surg Am. 2006;88(12):2687-94.
MacDermid JC, Roth JH, Richards RS. Pain and disability reported in the year following a distal radius fracture: a cohort study. BMC Musculoskeletal Disord. 2003;4(1):1-3.
Mudgal CS, Jupiter JB. Plate fixation of osteoporotic fractures of the distal radius. J Orthop Trauma. 2008;22:S106-15.
Sobky K, Baldini T, Thomas K, Bach J, Williams A, Wolf JM. Biomechanical comparison of different volar fracture fixation plates for distal radius fractures. Hand. 2008;3(2):96-101.