Functional and radiological outcome in distal radius fractures treated with locking compression plate

Background: Management of fractures of distal end radius has remained a controversial issue. They are treated via a variety of methods, but the best of treatment has not been defined yet. This study was performed to evaluate functional and radiological outcomes of volar locking plate in surgical management of such fractures. Material and Methods: In this prospective study 30 patients aged above 18 years of fracture distal end radius were treated with open reduction and internal fixation with volar locking plates, followed by early mobilization. Patients were followed up regularly and functional assessment were done at 3 weeks, 3 months and 6 months using modified Mayo wrist score. Results: Radiologically all patients had union at 3 months. 66.67% patients had excellent, 23.33% good and 10% showed satisfactory results on modified Mayo wrist score. No major complications were observed in the present study. One patient developed superficial infection which was resolved with serial dressing and broad spectrum antibiotics. Two patients developed hypertrophic scars. Two other patients developed asymptomatic hardware prominence (plate on radial border). Conclusion:Locking compression plate provides stable fixation for early mobilization of patient, leading to early resumption to pre trauma functional level of an individual with minimal complications.

Section: Discussionsupporting

confidence: 91%

Functional and radiological outcomes of volar locking compression plate in surgical management of fractures of distal end radius

Singh¹,

Chhabra²,

Kumar³

et al. 2019

“…Agarwal et al [12] in their study reported similar pattern. Chauhan AN et al [7] in their study reported excellent results in 45.7%, good results in 42.95% and satisfactory results in 11.4% which were different from the present study findings. This may be due to the fact that Mayo score system was not used in theirstudy.…”

Section: Discussioncontrasting

confidence: 99%

“…In this study mean age of the patients was found to be 40.03 years. Chauhan et al [7] reported mean age of 42.8 years, Pratap et al [8] reported mean age of 36.6 years, Jagdev SS [9] reported mean age of 43.2 years. In the present study 55.82% of males and 55.56% of females were in the 40-60 years age group.…”

Section: Discussionmentioning

confidence: 99%

“…Jagdev SS et al [9] reported that 57.77% of patients sustained fracture due to road traffic accident and 42.33% due to simple fall. Vishwanath et al [10] reported that 64% of the fractures were due to road traffic accidents and Chauhan AN et al [7] reported that 57.1% of the fractures were due to road traffic accidents. In this study 57.69% of the fractures were on right side and 42.31% of the fractures on left side.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A prospective observational study to assess the functional outcome of fracture distal end of radius treated with locking compression plate by volar approach

Kumar¹,

Mateen²,

Shahuddin³

et al. 2021

Introduction: Distal radius fractures are one of the most common skeletal injuries in the daily orthopaedic practice. They represent approximately 16% of all adult fractures treated by orthopedic surgeons. Outcome of the displaced extra-or intra-articular fractures require a good anatomical reduction. Various treatments such as manipulation and casting, percutaneous pinning with Kirschner (K) wires, External fixators were being practiced to treat distal radius fractures. Recent advances with Locking compression plates restore anatomical alignment and allow patient to start early mobilisation. The aim of our study is to compare the advantages and disadvantages of intraarticular distal radius fractures fixed with internal fixation using locking compression plate and to analyze the functional and radiological outcomes. Methods: The present study was carried out on 52 cases of intraarticular distal radius fractures treated by open reduction and internal fixation using locking compression plating (LCP) in Department of orthopaedics, Guntur medical college, Andhra Pradesh between November 2014 and October 2015. Functional outcome of patients was evaluated using Mayo modified wrist score and Lidstrom classification score. Data was analysed using SPSS v17 Software. Results: 52 Patients with intra articular distal radius fractures who fit the inclusion criteria, were selected and operated. Follow up of patients at 10 days, 6 weeks, 3 months and 6 months were studied according to Mayo modified wrist score. 47 patients exhibited excellent results and 5 patients exhibited good results. Radiological outcome using Lidstorm classification score were measured and 29 patients exhibited excellent results, 19 patients exhibited good results and 4 patients exhibited satisfactory results. Out of 4 patients One developed infection and implant exit was done and another 2 patients developed wrist stiffness and one patient developed hypertrophic scar. Conclusion:In the present study open reduction internal fixation using locking compression plate with screws was done for intra articular distal radius fractures. This resulted in successful outcome in terms of anatomic realignment, better access with minimal surgical trauma, functional outcomes and fewer complications.

“…For the 9 case managed with the K-wiring the mean Lidstrom scores were 3.66, 3, 2.55, 3.11 respectively (P-value 0.041). [5] .…”

Section: Figmentioning

confidence: 99%

Radiological evaluation of distal radio-ulnar joint congruency in distal radius fractures

Pratap¹,

Deane²,

Peshin³

2018

Distal Radius fractures (DRFs) are recognized as complex injuries with prognosis depending on several variables which include the fracture type and the method of treatment. Some mal-alignment of the distal Radio-Ulnar and Radio-Carpal joint has been estimated to occur in up to 71% of patients following a DRF. The Lidstrom scoring system is utilized to radiologically evaluate the DRFs in comparison to the normal side in the same individual. In this study we have assessed the Lidstrom score of DRFs at prereduction i.e. at the time presentation, at immediate post reduction and at follow-up at 7-10 days after reduction and after 6 weeks of reduction. The effect of various methods of reduction and stabilization in distal radius fractures was assessed, and we found that the conservative method of treatment of DRFs is most commonly opted for and gives good results. The most common AO fracture pattern in younger individual was 23B2 in the elderly was 23A2. The incidence of displacement for individual parameters was found to vary with age and severity of fracture pattern. We found there is a high propensity of post reduction re-displacement if wrist mobilization is not restricted till the time of union, even in operatively fixed pts. The most common cause of DRFs in young Males is road traffic accident, while in females is due to fall on outstretched hand.