Intra articular distal radius fractures and volar plate fixation: a prospective study

Kundu, Atin Kumar; Wale, Nitin; Phuljhele, Satyendra; Ghritlahre, Deepak; Gurudatta, Harjot Singh

doi:10.18203/issn.2455-4510.intjresorthop20171907

Cited by 5 publications

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Comparable results as ours were obtained in studies done by X.-M Wei et al [9] , Atin Kumar Kundu et al [10] and Alvin Chao Yu Chen et al [11] . Xiaofei Yu et al [12] did a comparative study and reported an infection rate of 33.3% in external fixator group and 7.7% in volar locking plate group however we did not encounter any incidences of infection in the followup of our patients.…”

Section: Descriptive Analysis Of Preoperative and Postoperative Radiological Parameters Of Study Participantssupporting

confidence: 87%

Outcome of Distal radius fracture managed by MIPO - A case series

Kothiyal¹,

Vij²,

Gupta³

et al. 2021

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

Introduction: Various treatment options for management of distal radius fracture include close reduction and application of cast, K wire fixation, external fixator application and open reduction and plating. The current study is aimed to assess the outcome of distal end radius fracture managed by minimally invasive plate osteosynthesis by evaluation of clinical results, radiological features and functional outcome. Materials and Methods: This was a prospective study conducted in Orthopedics department of SGRRIMHS, Dehradun 80 patients were enrolled. Evaluation was done on the basis of clinicoradiological and functional assessment. The parameters were measured preoperatively and on 4, 12 and 24 weeks. Chi square test was used to compare proportions and T-test was used to compare means of groups. P-value <0.05 was considered significant. Results: Mean age of participants was 42.55±19.5 years. Mean duration of surgery was 76.05 minutes. Mean post op Radial inclination was 18.10 degree, Mean post op Volar tilt was 10.45 degree, Mean post op Radial height was 9.25mm. Mean Wrist flexion at final follow up achieved was 51 degree and Mean Wrist extension was found to be 42.5 degree. Mean percentage of Grip Strength was 81.8%.DASH score at final follow up was found to be 7.2. Conclusion:Minimally invasive plate osteosynthesis can be utilised for extra articular distal radius fracture and intra articular fractures with minimal communition as it avoids extensive soft tissue dissection, preserve pronator quadratus and periosteal blood supply and provides rigid fixation, allows early mobilisation and better clinical, radiological and functional outcomes.

show abstract

Section: Descriptive Analysis Of Preoperative and Postoperative Radiological Parameters Of Study Participantssupporting

confidence: 87%

Outcome of Distal radius fracture managed by MIPO - A case series

Kothiyal¹,

Vij²,

Gupta³

et al. 2021

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

show abstract

“…Regarding 29 . In another study done by Kundu et al (2017), the mean time to union was eight weeks (range 6-12 weeks) 23 . Nagnur et al (2016) showed, time of union in LCP group, 16(80%) were within 2-3 months, 3(15%) were within 3-4 months and 1(10%) was more than 4 months and in EXFIX group, 14(70%) were within 2-3 months, 4(20%) were within 3-4 months and 2(10%) were more than 4 months 24 .…”

Section: Discussionmentioning

confidence: 91%

Evaluation of Functional Outcome of Unstable Distal Radial Fracture Treatment: A Comparison between Internal & External Fixations

Ghosh¹

2022

ijmscrs

View full text Add to dashboard Cite

Distal radial fracture is the most common fracture of upper extremity in all age group. In recent years, fixation with distal radial locking plate and external fixator both have become widely accepted modalities for treating unstable distal radial fracture. Purpose of this study was to evaluate the functional outcome of unstable distal radial fracture (AO/OTA 2.3B2 to C3) treated by internal and external fixations. Sample size was60 with (AO/ OTA 2.3-B2 to C3) fracture as per set criteria and was treated either by distal radial locking plate or by external fixator. Quick DASH Score was used for evaluation of functional outcome of surgery. Out of 60 patients, male (75%) were more than female (25%), maximum age incidence was found in 46-55 years age group (31.7%), right side involvement was 68.3% and left side was 31.7%. Over 66% incidence was due to RTA. Type of injury was 11.7% B2, 18.3% B3, 43.3% C1, 20.0% C2 and 6.7% C3. External fixation was 58.3% and internal fixation was 41.7%. Mean ± SD duration of operation was 39.14 ± 7.017 minutes in external fixation group and 92.80 ± 21.703 minutes in internal fixation group. Functional outcome was75.9% good and 17.2% excellent in external fixation group and 52.2% good and 34.8% excellent in fixation with distal radial locking plate group according to Quick DASH Score. Postoperative complication like soft tissue infection 34.3% and delayed union 25.7% and wrist stiffness 74.3% was in external fixation group and in internal fixation group, patients had suffered from soft tissue infection 32% and wrist stiffness 56%. No patient had non-union. Mean ± SD radiological union time in external fixation group was 16.53 ± 5.386 weeks and in internal fixation group was 16.67 ± 5.264 weeks. After 12 months of surgery both external fixation and locked volar plating provide good to excellent clinical outcomes.

show abstract

Clinical and Radiological Results of Treating Unstable Distal Radial Fractures with a Domestically Developed Volar Locking Plate That Has the Characteristic of Double-Tiered Subchondral Support

이¹,

정²,

안³

et al. 2020

J Korean Orthop Assoc

View full text Add to dashboard Cite

The aim of this study was to assess the effectiveness of domestically developed volar locking plate which has the concept of double-tiered subchondral support (DSS) in maintaining the reduction after distal radial fracture surgery. Materials and Methods: From July 2017 to December 2018, 54 patients were assessed. Plain radiographs were obtained immediately after surgery and at the last follow-up, and the radiographic parameters were measured in those images: radial length, radial inclination, volar tilt, ulnar variance, and distal dorsal cortical distance. The patients were subdivided into their age, type of fracture, and the position of the plate to evaluate the influence of each factors on the reduction maintenance. Results: Distal dorsal cortical distance in radiographs after the surgery was 5.91 mm (standard deviation, ±1.95 mm) on average. Significant differences in the radial length (p=0.038) and ulnar variance (p=0.001) were observed between immediately after surgery and at the last follow-up. When the parameters were evaluated by dividing the patients into subgroups according to the three specific factors, the ulnar variance showed a significant increase at the last follow-up when the patients were included 65-years-old or older. AO/OTA type C3 fracture, and Soong classification grade 0 plate position (p=0.007, p=0.012, p=0.046, respectively). Conclusion:Using the domestically developed DSS-type volar locking plate, significant reduction after distal radial fracture surgery could be maintained successfully. On the other hand, further study will be needed to determine about the reduction loss of the lunate facet identified in special cases that deal with fractures in elderly patients, unstable AO/OTA type C3 distal radial fractures, and Soong classification grade 0 plate position.

show abstract

Intra articular distal radius fractures and volar plate fixation: a prospective study

Cited by 5 publications

References 19 publications

Outcome of Distal radius fracture managed by MIPO - A case series

Outcome of Distal radius fracture managed by MIPO - A case series

Evaluation of Functional Outcome of Unstable Distal Radial Fracture Treatment: A Comparison between Internal & External Fixations

Clinical and Radiological Results of Treating Unstable Distal Radial Fractures with a Domestically Developed Volar Locking Plate That Has the Characteristic of Double-Tiered Subchondral Support

Contact Info

Product

Resources

About