Introduction: Management of distal end radius intraarticular fractures is difficult to manage and these fractures account for 10% of all fractures. Multiple treatment options ranging from conservative to internal fixation, of which volar plate fixation has emerged as an effective method of internal fixation in comparison with other fixed-angle locking plates as they ensure proper restoration of the articular surfaces and anatomical alignment. Materials and Methods: A hospital-based prospective study was conducted on 14 patients with distal end radius fractures admitted in our hospital from January 2019 to December 2019. Patients with distal end radius fractures treated with variable-angle locking plate were included and were followed-up minimum of 6 months. The results were analyzed based on radiological parameters and Mayo Wrist Score (MWS). Results: Of 14 patients, 11 were male patients and three were female patients. Seven patients had right-sided fracture whereas remaining seven patients had left-sided fractures. All 14 patients were treated with variable-angle locking plate. Among 14 patients, 12 patients achieved union by 12 weeks, only two patients achieved union by 24 weeks. Ten patients had excellent results while four patients had a good outcome based on MWS. All patients in our study had painless union without any complications. Conclusion: The use of variable-angle locking plates in distal end radius fractures helps to maintain perfect anatomical reduction, early mobilization, and better postoperative outcome.
Background: The aim of this study was to evaluate the mechanical properties of distal humerus fracture fixation using extra-articular distal humerus locking plate osteosynthesis. There are numerous types of plates used in this region and one among them is the extra-articular distal humerus locking plate. This anatomically precontoured plate is specifically designed for the fixation of extra-articular distal humerus fractures. Usually, distal humeral extra-articular fractures are often associated with complications. This study reports satisfactory outcomes with the usage of extra-articular plate osteosynthesis for extra-articular humerus fracture management. It has now become a choice of management in our center for the management of extra-articular distal humerus fractures because of its advantages. We evaluated the clinical and functional outcomes of treating these fractures. Materials and Methods: We studied 20 patients who underwent fixation over 2 years. Mayo Elbow Performance Score was used to analyze functional outcomes. The time for union, range of motion at shoulder and elbow, and secondary procedures were recorded in follow-up. Shoulder and elbow function was assessed using the Mayo Elbow Performance Score. Results: During the study of 20 cases of distal humerus fractures treated by extra-articular distal humerus locking plate. Majority (40%) of the study participants were in the age group of 18–30 years. The mean age group is 39.8 years. Among 20 patients, thirteen were males and seven were female patients showing a male preponderance. About 14 and 6 patients with the right and left sides were involved, respectively. Eighty-five percent of the fractures united within 16 weeks, whereas for three patients (15%), fracture united at 18 weeks. The mean average time to union is 15.2 weeks. Eighteen (90%) patients had excellent elbow movement. Two (10%) patients had elbow stiffness. This was reduced to 32 weeks. All the patients were mobilized on day 2 after surgery. Eighteen patients (90%) had excellent results. Fair results were observed in two patients.
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