European Journal of Molecular & Clinical Medicine

Background: To Study the surgical, Functional outcome and complications   of Intra articular fracture (Frykmann Classification) of distal end of radius treated with open reduction and internal fixation by plating.
Materials and Methods: The study will be conducted on patients of distal end radius fractures treated by plate osteosynthesis in Department of Orthopedics, Govt Medical College/General Hospital, Suryapet during the study period January 2021 to March 2022 Sample size –cases of Distal end radius fractures treated with Plate osteosynthesis during 18 month period in our hospital.
Results: The mean age of the patients taken up for the study was 45.9 years with the youngest patient being 21years and the oldest being 79 years. There were 11 female patients (55%) and 9 male patients (45%). Mode of trauma due to fall 12 patients(60%) is more as compare to RTA( road traffic accident) 08 patients (40%). Left side 11 patients (55%) is involved more as compare to right 09 patients (45%). Present study documents 90% functional excellent to good results, suggests that stabilizing the fracture fragments with volar plate and screws in the management of the fractures of distal radius, is an effective method to maintain the reduction till union and prevent collapse of the fracture fragments, even when the fracture is grossly comminuted/intraarticular/unstable and/or the bone is osteoporotic.
Conclusion: The technique emphasizes that open reduction and internal fixation with volar plating has excellent functional outcome with minimal complications thus proving that it is the prime modality of treatment for distal radius fractures.

Background: Clavicle fracture is a common traumatic injury around the shoulder
girdle due to its subcutaneous position. Recent studies have shown a higher rate of
nonunion and shoulder dysfunction in subgroups of patients with clavicle fractures.
Aim: The purpose of the study was to prospectively analyse the functional outcome of
mid-third displaced clavicular fractures treated by open reduction and internal fixation
with plate osteosynthesis. To study the outcome of displaced middle-third clavicular
fracture streated by plate osteosynthesis.
Methods: This was a prospective comparative on-randomized study was conducted in
Government District Head Quarters Hospital Suryapet with a follow-up ranging from
August 2021 to December 2021 (6 months). Ninteen cases of middle third displaced
(Robinson type 2b1 and 2b2) clavicular fractures are treated with plate osteosynthesis.
We used a reconstruction plate, a locking compression plate, and a 1/3rd tubular plate
for study.
Results: The mean time to union was 9.5 weeks. At the latest follow-up, the entire
patients returned to the pre-injury activity level. One case had a superficial infection
which was treated with intravenous antibiotics. There is no difference between the
reconstruction group and the locking compression plate group in terms of functional
outcome and union rate. We also noticed that road traffic accident and direct injury to
the shoulder causes Robinson type 2b1 (12) fractures.
Conclusions: Open reduction and rigid internal fixation of displaced midshaft
clavicular fracture have resulted in a good fracture union rate and excellent functional
outcome.

Over a two-year period, individuals with mandibular fractures underwent surgical treatment, and the complications that resulted from that are examined. 225 patients (mean age 32.6 (SD ±14.6) years) who underwent surgery for a mandibular fracture between two years. There were 426 fracture lines in all. 29 of the 213 dentate patients were largely treated with intermaxillary fixation (IMF). On 99 patients, IMF and osteosynthesis were carried out. To enable open reduction and internal fixation (ORIF), 79 individuals solely underwent IMF during surgery. Three of the 12 edentulous patients had Gunning splint treatment. Internal fixation and manual reduction were used to treat nine patients.442 plates and 1965 screws in all were used. Sixty (26.7%) of the patients had problems, including TMJ dysfunction, dysocclusion (15 patients), contaminated osteosynthesis material (15 patients), and (temporary) hyposensibility of the lip and chin (34 patients) (five patients). For the surgical retreatment required to address a dysocclusion, four patients. The findings of this study provide crucial information for improving the treatment of the broken mandible, and they partially accord with those of other studies.