Correlation of functional and radiological outcome of management of distal end radiud fractures using a trinary surgical treatment
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 2
Abstract
The approach of surgical management of distal intraarticular radial fractures is gaining popularity in the current scenario and there is no concluding evidence as to which method of surgery fares better than the other this article attempts to compare the radiological and functional outcome of trinary surgical treatment percutaneous pinning ligamentotaxis and plate and screw fixation for distal end radius intraarticular fracturesMaterials and Methods It was a prospective study involving 90 patients who presented with distal end intraarticular radius fractures each of these patients were randomly assigned to be treated by ligamentotaxis and plate and screw fixation percutaneous pinning n 30 each who were operated between January 2016 to May 2017 and their data with respect to functional and radiological outcome were collected over one yearResults In this research paper out of the 90 patients the excellent scores were in 13 patients accounting 144 good scores 478 in 43 patients and fair and the poor scores 256 and 122 functionally were seen in 23 and 11 patients respectively The Cramer s V value was not found significant the values noted are 084 A significant association between groups and Volar tilt Radial angle and Radial shortening Cramers V was found to be significant P value 00001 radiologicallyThe outcome with respect to radiology and the function was measured using werley and gartland scoring and the lidstorm scoring systemConclusion In this study the open reduction and internal fixation with plate and screws gave a restored radiological outcome compared to the ligamentotaxis and percutaneous pinning group but the functional outcome remained the same in all the three treatment groupsKeywords Distal radius Intra articular fractures Volar locking plate Percutaneous Kirshner wire fixation Ligamentotaxis
Authors and Affiliations
Siddalingamurthy . G, Sheshagiri . V, Shreyas. M. J
Keywords
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- EP ID EP476601
- DOI 10.18231/2395-1362.2018.0030
- Views 95
- Downloads 0
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