Intra articular distal radius fractures and Fixed Angle Volar Locking plate fixation: A prospective study

Dr.Hemeshwar Harshwardhan; Dr.Ashwani Jangir

Volume : VIII, Issue : XII, December - 2019

Intra articular distal radius fractures and Fixed Angle Volar Locking plate fixation: A prospective study

Dr. Hemeshwar Harshwardhan, Dr. Ashwani Jangir

Abstract :

Background: Intra-articular distal radius fractures still a therapeutic challenge to orthopedic surgeons. With the advent of locking plates, the fixation of these fractures has been made better, specifically by Fixed Angle Volar Locking Plate. This study investigates the efficacy of these plates using volar approach, functional & radiological outcome evaluated. Methods: This study was conducted at orthopedic department - JLN medical college & associated hospital Ajmer (Rajasthan). Twenty five patients with closed intra-articular distal radius fractures, with AO TYPE B2, B3, AND C fracture pattern, operated with Fixed Angle Locking Plate fixation using volar approach, were included in the study during the period of July 2018 to September 2019, with a minimum follow up of six months, radiological outcome was analysed (Sarmientos modification of Lindstorm criteria) and functional outcome recorded (Gartland and Werley�s demerit scoring system). Results: With a mean age of 38.4 years and follow up of three months, the range of movement of the wrist was very satisfactory, and the mean grip strength was 85% of the opposite wrist. Functional parameters by Gartland and Werley showed a significant improvement in most of the patients during the follow‑up period(68% excellent,16% good,16% fair) and Radiological parameters were well maintained (Lindstorm criteria - 60% excellent,29% good,7% fair,4% poor) and The complication rate was less and insignificant. Conclusions: Primary fixed angle volar plate fixation of intra-articular distal radius fracture provides a stable fixation that effective in anatomic realignment, allows early joint motion, owing to its fixation strength, thereby better functional & radiological outcomes and minimal complication.