Study of Functional Outcome of Intra-Articular Distal end Radius Fractures in Adults Treated by Distal Radius Locking Plate
European Journal of Molecular & Clinical Medicine,
2021, Volume 8, Issue 4, Pages 2526-2534
AbstractBackground: Fractures of distal part of radius are one of the most commonly occurring fractures and encountering problems in selecting treatment option. The purpose of this study to analyse the efficacy of distal end radius plate fixation of intra articular distal radius fractures in adults with special emphasis on technical difficulties and complications.
Materials and Methods: This study was conducted in the Department of Orthopaedics, Jhalawar Medical College Hospital. The study consists of 25 Patients with intra-articular distal radius fractures were included in this study. They were treated with distal end radius locking plate through volar approach. At each follow-up, patients were evaluated clinically and radiologically with appropriate X-rays.
Results: All patient were evaluated for radiological &functional outcome according “Sarmiento’s modification of Lindstorm’s criteria & Mayo Score” respectively. The mean time of union was 14 weeks with a range of 10 to 18 weeks with a 17 cases (68%) healing by 12 weeks. Rest of the 8 cases (32%) took a longer duration. No case of delayed union was reported. Longer duration to union is noted in patients of older age with relatively poor bone quality. Stiffness was noted in 12% cases (3 patients), 4%(1 patient) show malunion, 8% cases (2patients) had superficial infection which was controlled by dressing and antibiotics and 4%(1patient) had broken screw.
Conclusion: Early Primary fixation of the distal radius fractures by distal radius plate is essential for good functional outcome and to avoid complication of prolonged immobilization, which facilitates early return to regular activities. Patients with unstable, either a dorsally or volarly displaced intra-articular radius fracture had excellent to good radiological outcome when treated with distal radius plate.
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