Background and objective: Fractures of the distal radius account for 10 to 12% of all the fractures. Fall on outstretched hand being most common cause. Failure to achieve and maintain near anatomic restoration can lead to various disabilities and deformities. There is evidence that surgical good anatomical articular reduction reduces the complication hence the management of distal radius fractures changed from universal use of cast immobilization to operative interventions. Aim of this study is to observe the functional and anatomical outcome of distal radius treated with external fixation. Materials and Methods: The present study includes 22 cases of distal radius fractures who were operated with external fixation in our hospital BTGH, MRMC, kalaburagi between Jan 2017 to Dec 2017. Ethical clearance and Informed consent were taken. All the fractures were classified according to frykman's classification and patients' final outcome was measured by Gartland and Werley's Score (demerit system). Results: The present study includes 22 patients, 14 were male and 8 were female. The mean patient age was 36 years (22yrs-50yrs). Left hand was involved in 13 patients and right hand in 9 patients. The mechanism of injury was road traffic accident in majority. Most of the patients were operated within 3-4 days of injury. 6 patients with high impact type injuries had associated fractures. Most of fractures were of Type III, IV, V of Frykman's classification of fractures. End Results according to Demerit point system of Gartland and Werley's among 22 patients treated with External fixation were Excellent in 10 patients, Good in 7 patients, Fair in 4 patients, and Poor in 1 patient. Conclusion: External fixation in distal radius fractures provide good to excellent results and are effective in the correction and maintenance of distal radius anatomy.

Background and objective: Distal radius fractures accounts for almost 10% of all the fractures. The most commonest cause being fall on outstretched hand. Evidence suggests that good anatomical articular reduction with surgery reduces the complications associated with the fracture, hence the management of fractures have evolved from cast immobilization to operative interventions. Aim of this study was to observe the functional and anatomical outcome of distal radius treated with ligamentotaxis using external fixators. Materials and Methods: The present study includes 40 cases of distal radius fractures who were operated with external fixation in Basaveshwar Hospital Kalaburagi between Jan 2017 to Dec 2018. Ethical clearance was taken from the ethical committee of the institution and Informed consent were taken from the patients. Frykman's classification was used for the classification of fractures being treated and patients final outcome was measured by Gartland and Werley's Score (demerit system). Results: The present study includes 40 patients, 24 were male and 16 were female. The mean patient age was 35 years (22yrs-50yrs). Left hand was involved in 24 patients and right hand in 16 patients. The mechanism of injury was road traffic accident in majority. Most of the patients were operated within 3-4 days of injury. 12 patients with high impact type injuries had associated fractures. Most of fractures were of Type III, IV, and V of Frykman's classification of fractures. End Results according to Demerit point system of Gartland and Werley's among 40 patients treated with External fixation were Excellent in 20 patients, Good in 12 patients, Fair in 7 patients, and Poor in 1 patient. Conclusion:External fixation provides good to excellent results in distal radius fractures and are found to be effective in the correction and maintenance of distal radius anatomy.

Background: In the current era, fractures of forearm bones have become more common. The forearm serves an important role in the functioning of the upper extremity. Hence aggressive management through good anatomical reduction and internal fixation of these fractures has become a necessity. Fractures of the radius and ulna occupy a large field of the modern traumatology. Therefore, these fractures are a major subject in modern orthopaedics and traumatology. The purpose of this study was to assess and compare functional results of plating and nailing in fracture stabilization. Aims of Study: 1.To evaluate the results of internal fixation of diaphyseal fractures of both bones forearm treated by plate osteosynthesis and closed intramedullary elastic nailing. 2. To compare the functional results of the two groups treated with plate osteosynthesis and closed intramedullary elastic nailing. Methods: Retrospective and prospective study with the sample size of 20 patients with both bone forearm fractures. 10 patients were treated with dynamic compression plating and remaining 10 with intramedullary elastic nails. Results were assessed by time for union, type of fractures, range of motion of elbow and wrist joint, complications and functional assessment were done by Grace-Eversmann Criteria and DASH questionnaire Results: Average surgery time in plate osteosynthesis group was 70 minutes, and in closed nailing group was 50 minutes. In plate osteosynthesis group radius showed union in 9 (90%) patients and ulna in 10 (100%) of patients, and 1 deep infection in plate osteosynthesis closed nailing group both radius and ulna resulted in 100% union rate. In plate osteosynthesis group there was 1 deep infection, no implant failure, and 1 delayed union. Functional results in plate osteosynthesis group were excellent in 7 of patient, satisfactory in 2 of patients failure in 1. There was no unsatisfactory result in this group. In closed nailing group result were excellent in 7, satisfactory in 2, unsatisfactory in 1 and no failure Conclusions: Our experience indicates that the advantage of closed intramedullary nailing for fractures of both bones forearm are that it allows high rate of osseous union, and it requires less surgical exposure and operative time, less risk of infection than plate osteosynthesis for diaphyseal fractures of both bones forearm in adults. The disadvantage of this system is that post-operative immobilization is required until bridging callus is observed at the fracture site. We conclude that closed intramedullary nailing is not superior to plate fixation but can be considered as an alternative to that method for diaphyseal forearm fractures in adults.