Abstract

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.