Surgical Management of Volar Barton fracture with Fixed Angle Locking compression Plate
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 783-790
AbstractBackground: 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.
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