Functional And Radiological Outcomes After Volar Locking Plate Fixation In Type C Distal Radius Fractures – A Retrospective Study
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2018, Vol 4, Issue 1
Abstract
Background -Open reduction and internal fixation using a volar locking plate has gained popularity for the treatment of intraarticular distal radius fractures. Purpose -To evaluate the functional and radiological outcomes of unstable intraarticular distal radius fractures after fixation with the volar locking plate. Patients and methods -A retrospective review was conducted of patients using the volar locking plate to treat intra-articular distal radius fractures. Unstable intraarticular distal radius fractures in 22 patients, comprising 17 male and 5 female with a mean age of 54.4 years (21–71 years), were treated with a volar locking plate followed up for a minimum of 2 year. Fractures were classified using the AO classification. Radiological parameters of preoperative and final follow-up radiographs were compared. The time to initiation of active range of motion was determined. Final follow-up range of motion and complications were reported. Results -At final functional assessment, all patients have good range of motion of wrist and no patient has severe pain according to the Fernandez pain score. In all patients radiological parameters are in acceptable range at final follow up. No non-union or implant failure occurred. Flexor tenosynovitis is important complication in 2 patients for which implant removal was done. Conclusion - Irrespective of the direction and amount of initial displacement, a great majority of intra-articular fractures of the distal radiuscan be managed with a fixed angle volar plate. It leads to satisfactory clinical outcome and radiological results, provided the operative technique is carefully performed to prevent complications.
Authors and Affiliations
Surendra singh yadav, Vikas singhal
Keywords
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