International Journal of Orthopaedics Research

International Journal of Orthopaedics Research


International Journal of Orthopaedics Research
International Journal of Orthopaedics Research
Vol. 4, Issue 1 (2022)

Volar locking plate osteosynthesis-the most effective treatment modality for management of unstable distal radius fractures: A clinico-radiological and functional outcome evaluation


Arijit Das, Ayon Das

Background: Fracture of distal radius is the most common fracture encountered by Orthopaedic surgeons. There is no consensus regarding optimal treatment of displaced distal radius fractures. Unstable fractures are best managed surgically and the results of volar locking plates have been promising. The aim of this study was to evaluate the clinical, radiological and functional results in patients with unstable distal radius fractures treated by open reduction and internal fixation using volar locking plate osteosynthesis. Materials and Methods: A total of 32 patients with unstable distal radius fracture, selected between December 2018 to February 2020, were managed by using volar locking plate osteosynthesis. This was a prospective study conducted at a Tertiary care private Hospital in Kolkata, and all patients were followed up for a minimum period of 1 year. Radiological assessment was done according to the Sarmiento’s modification of Lindstrom Criteria and Mayo wrist score was used to assess the functional outcomes of patients. Results: 93.7% patients had Good to Excellent alignment of fragments on anatomic evaluation radiologically according to Sarmiento’s modification of Lindstrom Criteria and 93.7% patients had Good to Excellent outcomes as per Mayo wrist score during the final follow-up. 28 (87.5%) patients did not develop any complications. At the end of 1 year, the mean Mayo wrist score was 90.31 ± 9.91. 87.5% patients had returned to their regular daily activities and pre-injury employment status by the end of final follow-up. Conclusion: Volar locking plate fixation of unstable distal radius fracture provides a stable construct that helps in early mobilization, resulting in better clinical and radiological outcomes leading to early resumption to pre-injury functional level of an individual with minimal complications and, thereby is an upcoming method of choice for fracture distal end of radius.
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How to cite this article:
Arijit Das, Ayon Das. Volar locking plate osteosynthesis-the most effective treatment modality for management of unstable distal radius fractures: A clinico-radiological and functional outcome evaluation. International Journal of Orthopaedics Research, Volume 4, Issue 1, 2022, Pages 1-9
International Journal of Orthopaedics Research International Journal of Orthopaedics Research