Online ISSN: 2515-8260

Keywords : Volar Barton Fracture


Surgical Management of Volar Barton fracture with Fixed Angle Locking compression Plate

T. Santhosh Srikanth, Swetha Madhuri , Kodam Ram Mohan

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 783-790

Background: Volar Barton's fracture is an unstable distal radial fracture with wrist subluxation or luxation. The goal of treatment is to accomplish anatomic fracture union, regain hand function quickly, and avoid complications. Healing fractures require limited space, stability, and blood supply. The locking plate lowers compressive pressures on the bone to achieve stability, which may prevent periosteal compression and blood supply degradation. It is favoured for fracture healing.
Martial and Methods: 25 volar barton fracture patients were treated at Kakatiya Medical College/MGM Hospital, Warangal, Telangana, India, from July 2021 to July 2022. Open reduction and internal fixation with a 2.5 mm locking compression plate were used. We employed 2 forms of LCP, universal and fixed angle, through a modified Henry's volar approach and an ulnar palmar approach. We followed up until functional recovery and examined radiologically at 1, 3, 6, and 12 months.
Results: The study included 20 men and 05 women aged 18 to 59 with a mean age of 36.5. Injury-to-surgery averaged 2.35 days. 6 to 24 months of follow-up. Applying 55% excellent, 35% good, 5% average and 5% poor on Gartland and Werley's demerit scale.
Conclusion: Fixing distal radius fractures, especially intraarticular volar barton fractures, with a locking compression plate is satisfactory for both patient and surgeon. Locking plates improve wrist function after volar Barton's fractures.

A STUDY OF SURGICAL MANAGEMENT OF DISTAL RADIUS FRACTURES

Dr. Bestha Ragahvender, Dr. Puli Vineela

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 3152-3171

Aim: To study the functional outcome of operative management of fractures of distal end of radius in adults using various methods like closed reduction and percutaneous K-wire fixation, Open reduction and internal fixation with plate and screws and external fixation.
Methodology: The present, “STUDY OF SURGICAL MANAGEMENT OF DISTAL RADIUS FRACTURES IN ADULTS”, which is a prospective study,was carried out in the Department of Orthopedics, SVS Medical College &Hospital, during August’ 2018 to August’2019.
Results: The total number of cases of fractures of the distal end radius in this prospective study are 20, of which 17 (85%) were Male and 3 cases (15%) were females. The age group of the patients is between 20 to 80 years. The commonest age groups of the cases were in 3rd and 4th decade. The youngest patient is 21 years old and the oldest patient is 65 years old. Mean age is 38.8 yrs. There is a predominant right side involvement.
The mode of injury in most cases is road traffic accidents (55%) followed by fall on outstretched hand (45%). Commonest radiological types of fracture are Frykman type IV, III, II and VII. Intra articular fractures were more than extra articular fractures.
ORIF with plate and screws was done for 11 cases. 7 cases were fixed with ellis plate and 4 cases with LCP through volar approach. Volar Barton fractures were treated with Ellis plate. Closed reduction and K – wire fixation was done for 7 cases. External Fixation was done for 2 cases with Frykman VII and VIII type fractures. There were 2 complications (10%). 1 case landed in malunion and 1 case had superficial infection. Follow –up period was between 3 – 15 months. Results were Excellent in 35% patients, good in 45% patients, fair in 15% cases. 5% (1 case) had poor result.
Conclusion: Operative management of distal radial fractures, regardless of the type of fixation, produces excellent to good results with proper pre- operative evaluation, selection of the method based on fracture pattern, reducibility, stability and quality of bone, early fixation, proper wound and pin site care, early post-operative rehabilitation and patient education

Radiological and Clinical Outcome of Volar Barton Fractures Treated by Volar T- Plate Fixation

ShivpalSingh, Yusuf Ali Deoda, Neelam Choudhary, LaaebaYusuf

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 10528-10531

Aims:To evaluate the functional and radiological result of volar barton fracture treated
with T-plate.
Methods: In this prospective study forty patients of volar barton fractures treated with
volar T- plate were evaluated. In all patient’s volar approach was used for plate
fixation. Fractures were reduced in direct vision. Plate applied and initially 3.5 mm
cortical screw fixed in oval hole of t-plate then into other holes.Radiological outcome
was assessed according to Lidstrom criteria and clinical outcome was assessed using
Mayo score.
Results: Out of forty patients, thirty patients were caused by road traffic accidents and
remaining ten patients caused by slip on the floor. Majority of patients (90%) operated
within 5 days of injury. Duration of hospital stay was 3 to 6 days. Mean time of
radiological union was 8 weeks (6 to 12 weeks). Thirty patients had excellent to good
functional outcomes at the 8 months. No case of nonunionwas reported. Thirty-four
patients (85%) had volar tilt in the range of 5 to 10 degree. Radiologically 95% patients
had excellent to good results.
Conclusion: Volar barton fractures are best treated with osteosynthesis using volar t -
plate.