Intra articular fracture of distal end of radius treated by open reduction and internal fixation with buttress plate-a clinical study
Keywords:Distal end radius, Intra articular fracture, Open reduction internal fixation, Buttress plate
Background: Recognition of fracture patterns and fixation of fracture to secure and maintain reduction is the key for successful management of more complex intra articular fractures of distal radius. Devices like buttress plates have been shown to provide excellent stability for an unstable fracture with either dorsal or volar metaphyseal comminution. The objective of the study was to evaluate the functional outcome of intra articular fracture of distal end of radius treated by open reduction and internal fixation by buttress plate using Criteria of Gartland and Werley Point System.
Methods: Twenty patients with intra articular fracture of distal end radius were treated by open reduction and internal fixation by buttress plate in Al-Ameen medical college, Bijapur. Statistical analysis: The data obtained was represented as percentage.
Results: The study included 20 patients, 11 males and 9 females aged from 21 to 69 years with mean of 40.2 years. The average duration of follow-up was 7 months ranged from 6-10 months. Using the Demerit scoring system of Gartland and Werley, we had 20% excellent results, 45% good results, 20% fair results and 15% poor result whereas, excellent to good results were found in 65% of patients.
Conclusions: Open reduction and internal fixation by buttress plate provides better functional outcome in treating the intra articualar fracture of distal end radius. Excellent to good results are produced by using buttress plate for fixation of intra articular fractures of distal end radius. So, this procedure can be used as alternative to other procedures in treating intra articular fractures of distal end radius.
Cooney WP. Fracture of distal radius, a modern treatment based classification. Orthop Clin North Am. 1993;24:211-6.
Jakim I, Pieter HS, Sweet MBE. External fixation for intraarticular fractures of distal radius. J Bone Joint Surg (Br).1991;73:302-6.
Jupiter JB. Current concepts review fracture of distal end of radius. J Bone Joint Surg (Am). 1991;292:48-61.
Richard A, Ro Gachferky MD, Lipson SR. Treatment of severely comminuted intraarticular fracture of distal end of radius by open reduction combined internal and external fixation. J Bone Joint Surg (Br). 2001;83:215-26.
Cooney WP, Linscheid RL, Dobyn JH. External pin fixation for unstable Colle’s fracture. J Bone Joint Surg. 1979;61:840-6.
Gerostathopoulos Nicolaos, Kalliakmanis Alkiviadis, Fandridis Emmanouil, Georgoulis Stylianos. Trimed Fixation system for Displaced fractures of the Distal Radius. J Trauma. 2007;62(4):913-8.
Andrew CH. Fractures of Shoulder, Arm, and Forearm. In: Campbell’s operative Orthopaedics. Chapter 54. 10th edition. Philadelphia: Mosby, Inc; 2003: 3058-3066.
John J. Gartland, Charles W. Werley. Evaluation of healed colle’s fractures. J Bone Joint Surg Am. 1951;33:895-907.
Bradway JK, Amadio PC, Cooney WP III. Open reduction and internal fixation of displaced, Comminuted intra-articular fractures of the distal end of the radius. J Bone Joint Surg. 1989;71(6):839-47.