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VOL. 3, ISSUE 2 (2021)
Analysis of functional outcome of volar locking plate in the management of intra-articular distal end radius fractures
Authors
Jitender Singh, Gnaneshwar Raj Kotipalli, Krishna Chaitanya Mantena, Aditya P Apte, Devta Singh
Abstract
Background & Objectives: Distal Radius fractures with intra articular involvement are challenging fractures to treat. They are associated with an articular incongruity and involve the radiocarpal, radioulnar joint as well as the ulnar styloid. The effectiveness of intervention has a direct bearing on wrist function. Various treatment modalities exist each having its own advantage. This study aims to evaluate the functional outcome of these fractures treated with volar locking plate. Methods: This is a prospective study of 30 cases of intraarticular lower end radius fractures in adults aged between 36 to 57 years. These cases were operated with open reduction and internal fixation with volar locking plate at a tertiary care hospital. Regular follow up was done and outcome was assessed at 1 year using DASH criteria. Results: 13 patients had excellent results, 9 patients had good results, 6 patients had satisfactory results, 2 patient had poor result. We had 2 patients with complications, 1 patient with radiocarpal arthritis and 1 patient with median nerve neuropathy. The mean time for union was 3.4 months. Conclusion: Operative management of intra- articular distal radial fractures, produces excellent to good results with proper pre-operative evaluation, early fixation and reduction, proper wound care and early post-operative rehabilitation and patient education.
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Pages:13-18
How to cite this article:
Jitender Singh, Gnaneshwar Raj Kotipalli, Krishna Chaitanya Mantena, Aditya P Apte, Devta Singh "Analysis of functional outcome of volar locking plate in the management of intra-articular distal end radius fractures ". International Journal of Orthopaedics Research, Vol 3, Issue 2, 2021, Pages 13-18
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