“A Study of Management of Comminuted Fractures of Lower End Of Radius By External Fixator with Ligamentotaxis Vs or if with Plating A Prospective Comparative Study”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Background and purpose: In unstable communited distal radial fractures that are impossible to reduce or to maintain in reduced position, the treatment of choice is operation. The type of operation and the choice of implant, however, is a matter of discussion. Our aim was to compare between external fixator with Ligamentotaxis and open reduction and internal fixation with volar plate in respect of anatomical and functional variables. Methods: 30 patients with an unstable or comminuted distal radius fracture were selected ,15 were treated with closed reduction and bridging external fixation and 15 were treated with open reduction and internal fixation using volar plate. Patients were reviewed for follow up after 1 week with check X-ray, then in every 2 weeks upto 6 weeks. Patients were evaluated on 3rd and 6th month after surgery for analyzing results. Results: At the end of study, Mean functional score of patients treated with external fixator preoperatively was 48.00 which has increased to 89.67 at the end of follow up while in patients treated with platting preoperatively mean functional score was 48.73 which has increased to 78.93 at the end of 6 months follow up. P value for external fixator group was more significant (P-0.004, highly significant) than platting (P-0.01) group (although significant difference in both groups). Overall, mean anatomical score of patients treated with external fixator has increased significantly to 90.55 degree from 48.93 at the end of 6 months follow up, which was statistically highly significant (P-0.006). While in patients treated with platting anatomical score increased less significantly (P-0.04) (although significant difference in both groups). Interpretation: Although both functional and anatomical evaluation shows difference were significant in both group between preop and post op values but external fixator is better than platting to improve overall anatomical landmarks and functional variables, platting was better than external fixator only to restore volar tilt, in all other criteria fixator was better than platting.
Authors and Affiliations
Jagga Atul, Singh Hardev, Kumar Sandeep, Adhikari Navneet
Keywords
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- EP ID EP238853
- DOI 10.9790/0853-1611071218
- Views 100
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