“Evaluation of radiological and clinical outcome of volar locking compression plate (VLCP) in fractures of distal end of radius”.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
Distal Radius fractures commonest fractures of the human skeleton. By the usual plaster cast method deformity upto 60% and unsatisfactory results in upto 32% of the patients are reported. Open reduction of the articular surface, stable reduction, restoration of the radial length, volar angulation and radial inclination reduces the frequency of secondary osteo-arthritis and allows early functional rehabilitation.9 Treatment options include closed reduction and pinning, bridging and non-bridging external fixation and open reduction with dynamic compression plate (DCP), precontoured locking and non locking plates and screw fixation through a variety of approaches. In present study twenty five patients, approaching to a tertiary institute of Punjab, having fracture of distal end of radius grouped as per A. O. Classification were treated by volar locking compression plates (VLCP). The primary outcomes instrument for measuring patients rated hand performance in the patient study was the Michigan hand outcomes feedback form All patients achieved radiological union till six months of follow up and there was no cases of nonunion. Radiologically there was no significant change in fixation in term radial inclination, volar angle, radial height and ulnar variance after postoperative and at six months follow up. Complications noted in present series were, superficial infection in two patients (08%) which was managed with appropriate antibiotics, one patient operated late developed Sudeck’s Osteodystrophy, one patient (4%) with inadvertent intra-articular screw placement, which was managed conservatively.
Authors and Affiliations
Dr. Kamal Kumar Arora, Dr. Rajesh Kapila, Dr. Simranjit Singh, Dr. rakesh sharma, Dr. Pritichaudhary
Keywords
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- EP ID EP421676
- DOI 10.9790/0853-1712041522.
- Views 49
- Downloads 0
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