Online ISSN: 2515-8260

Keywords : Fracture Distal Radius


Outcome Analysis of Fracture Lower End Radius (AO Type B & C) Treated by Orifand Plate

Raghvendra Choubey, Gaurav Agarwal, Nitin Kiradiya,Anshul Gupta, Rajesh Kumar Jain

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 1274-1281

Background: Treatment of distal radius fractures is difficult due to comminution and
joint involvement. Plating is now the standard treatment method for distal radius
articular fractures because of higher rate of complications after conservative
management.Aim: The aim of the study was to evaluate the usefulness of volar locking
plate fixation method of distal radius fracture and to compare it with other results.
Materials and Methods: We evaluated 28 patients from volar locking plates from
December2012 to March 2017, treated for distal radius intraartiular fractures by using
a volar locking compression plate. Standard X-ray and clinical assessment after 1year
were measured and final outcome were assessed using modified Gartland and Werley
score.
Results: At the end of 12 months, 17 cases out of 28 cases in which most of the excellent
results in AO type B fractures (excellent outcome in 13 patients out of 16 patients i.e.
81.25% cases) as compared to type C fracture where it was 33.33% cases (excellent
outcome in 4 patients out of 12patients). One case developed of superficial wound
infection which resolves with antibiotics.
Conclusion: The distal radius fixation volar locking plate restores anatomy, helps in
speedy movement of wrist and function, prevents postoperative collapse of fracture and
hence is an excellent treatment method for distal radius fractures.

AN EVALUATION OF OUTCOME OF SURGICAL MANAGEMENT OF UNSTABLE COMMINUTED FRACTURE OF DISTAL RADIUS USING EXTERNAL AND INTERNAL FIXATION

Dr. Anilkumar T Bennur, Dr. Tulaja Prasad PV, Niraj A Bennur

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 2029-2033

Introduction: The goal of treatment of distal fracture of radius is restoration of normal function and prevention of complication like malunion, joint stiffness and deformity but achievement of desired outcome is always a challenge in fracture of distal end of radius.
Materials and Methods: Patients with unstable comminuted fracture of distal radius admitted in the department of orthopedics and enrolled for this study based on inclusion and inclusion criteria. For functional assessment of outcome, we used DASH (Disability of the Arm, shoulder and hand) Method.
Result: The mean of DASH score was16.24±4.62 in external fixation group and 14.65±3.98 in internal fixation group. Both groups are comparable to each other as it is not statistically significant (P˃ .05). There is no incidence of compressive neuropathy, Sudeck’s osteodystrophy, iatrogenic rupture and nerve injury.
Conclusion: DASH score was less in internal fixation group. Post-operative infection was high in internal fixation group. Functional outcome was better in internal fixation group.