Volar locking plate fixation for unstable distal radius fractures- A prospective study of functional and anatomical outcome
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 43-50
AbstractDistal end radius fractures constitute one-sixth of all fractures treated in the emergency department. These fractures often are unstable, are difficult to reduce anatomically. Various modes of treatment include plaster application, External fixator, Plate fixation with locking compression plate. Recently, there has been an increasing interest in plate fixation, especially volar locking compression plate fixation of distal radius fractures. The purpose of this study is to evaluate the functional and anatomical outcome of unstable distal radius fractures treated by volar locking compression plate.
METHODS AND MATERIALS:
Forty-eight patients with unstable fractures of the distal radius treated with open reduction and internal fixation with volar LCP were taken under the study. Lafontaine 's criteria for instability were used to assess the fracture stability. Volar Henry approach was employed in all patients. Post-operative follow up at 6 weeks, 3 months, 6 months, 1 year and every 6 months later on as necessary. The assessment of functional results was made using the Demerit system of Gartland & Werly and Sarmiento's modification of Lidstrom's criteria was used for assessing anatomical outcome.
Out of 48 patients, 34 were males and 14 females. 26 met with road traffic accidents and 22 have fallen on their outstretched hand. The assessment of functional results was made using Gartland & Werley demerit system based on residual deformity, subjective evaluation, objective evaluation & complications. 22 cases had excellent results and 22 cases had good results and 4 cases had fair results at the end of 12 months.
Volar LCP is an effective treatment option for unstable distal radius fractures which promotes anatomic realignment, prevents delayed collapse, allows early joint motion and results in successful functional and anatomical outcomes
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