A descriptive longitudinal study of functional outcome in intra-articular distal end radius fracture with volar displacement treated by locking compression plate

Abstract

Background: The distal radius metaphysis is composed mainly of cancellous bone. On articular surface there is a biconcave articulating surface with the proximally placed carpal row (scaphoid and lunate fossae) and also a notch for articulation with the ulna. Objective of the research was to study the functional outcome in distal end radius fracture with volar displacement treated by locking compression plate. Methods: A hospital based descriptive, longitudinal study was conducted with 114 patients aged between 20-60 years to assess functional outcome in patients of distal end radius fracture with volar displacement treated by locking compression plate. Results: According to demerit point score system of Gartland and Werley, 75 (69.4%) patients had excellent score while 24 (17.5%) and 15 (13.1%) patients had good and fair score respectively. No patient had poor score. 6 (5.3%) and 2 (1.8%) patients had superficial infection and hypertrophic scar respectively while 1 (0.9%) patient had developed malunion. Conclusions: Volar plating has excellent functional outcome with minimal complications thus proving that it is the prime modality of treatment for distal radius fractures.