Open Reduction and Volar Plate Fixation  of Dorsally Displaced Distal Radius  Fractures: A Prospective Study of  Functional and Radiological Outcomes

Ballal, Arjun; Sadasivan, Anand Kumar; Hegde, Anoop; Shetty, Asode Ananthram

doi:10.7860/jcdr/2016/23187.8944

Cited by 2 publications

(6 citation statements)

References 10 publications

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“…Five patients showed good scores and 12 had satisfactory results. 1 Pravin Agrawal also demonstrated excellent functional outcome in 60% of his patients according to Mayo scoring. 5 Prem Kotian in his study demonstrated that there was no significant difference in radial shortening, decrease in palmer angulations and loss of radial deviation after three months follow up.…”

Section: Introductionmentioning

confidence: 85%

“…About 15 to 17 % of all fractures presenting to emergency department constitutes the distal radius fracture. 1,2 They are usually as of high energy trauma such road traffic accidents and falls. 3 These fractures more often complicate with malunion which leads to poor functional and cosmetic outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…3 These fractures more often complicate with malunion which leads to poor functional and cosmetic outcomes. 1 Distal radius fracture are more likely to be seen in women. 4 50% of these have intra-articular extension.…”

Section: Introductionmentioning

confidence: 99%

“…Intra-articular fracture of distal radius with dorsal or volar angulation remains one of the most challenging fractures to be reduced over decades for orthopedic surgeons. 1,3 There are different modalities for management of distal radius fractures. Stable un displaced fracture are usually managed with plaster of paris casting and splints, however, unstable distal radius fractures and fractures with intra-articular extensions are managed with surgical approach such as percutaneous pinning with Kirschner wire fixation, open reduction and internal fixation with dorsal and volar locking plates and external fixation.…”

Section: Introductionmentioning

confidence: 99%

“…6 Studies have shown that immediate post-operative reduction achieved with 2.7mm volar locking compression plate remained stable and unchanged throughout the follow up period with acceptable fracture union good functional outcomes at wrist. 1,2 Arjun Ballal in his study conducted in 2016 enrolled 20 patients. He used open reduction and internal fixation with locking compression plate via volar approach in his patients.…”

Section: Introductionmentioning

confidence: 99%

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Functional Outcomes of Distal Radius Fractures Managed With 2.7MM Variable Angle Volar Locking Compression Plates

Hidayatullah¹,

Hassan

Tariq³

et al. 2022

Pak Postgrad Med J.

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Objective: About 15 to 17 % of all fractures presenting to emergency department constitutes the distal radius fracture. Intra-articular fracture of distal radius remains one of the most challenging fractures to be reduced over decades for orthopedic surgeons. Objective is to demonstrate the functional outcomes of 2.7mm variable angle volar locking compression plate using Mayo’s wrist score in distal radius fracture. Methodology: A Quasi experimental study was conducted in the Department of Orthopedics & Trauma, CMH Rawalpindi from 20th October 2020 to 19th April 2021. A total of 120 patients with distal radius fracture AO Classification A1 C2 C3, 19 to 69 years of age of both genders were included. Outcome of 2.7mm Variable angle Volar Locking Compression Plates using Mayo’s wrist score was calculated. Data was entered in SPSS version 25. Descriptive analysis was done for age. Gender and mayo wrist scoring criteria were presented as frequencies and percentages. To analyze association of the outcome with age and gender chi-square test was applied. Results: Mean age in the study was 40.34 ± 8.01 years. Majority of the patients 71 (59.17%) were between 19 to 40 years of age. Out of 120 patients, 82 (68.33%) were males and 38 (31.67%). 51 (42.50%) patients had excellent functional outcome, 47 (29.17%) had good outcome, 13 (10.83%) had fair outcome and 09 (7.50%) had poor outcome. Conclusion: The functional outcomes of 2.7mm volar locking compression plate using Mayo’s wrist score in distal radius fracture is very good.

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Section: Introductionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Functional Outcomes of Distal Radius Fractures Managed With 2.7MM Variable Angle Volar Locking Compression Plates

Hidayatullah¹,

Hassan

Tariq³

et al. 2022

Pak Postgrad Med J.

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Correlation of the radial inclination angle in the distal part of the radius with the volar cortical angle and age-related changes of these angles

Yazıbaşı¹,

Pekmez²,

Ağır³

et al. 2023

VOJNOSANIT PREGL

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Background/Aim. The radial inclination (RI) and volar cortical (VC) angle values used in the treatment of radial distal end fractures may vary depending on factors such as the age and sex of the patient. This puts up the question of how compatible can be the standard anatomical plates, which are frequently used in surgical treatment of these fractures. This study was aimed to evaluate VC and RI angles depending on age and gender of subjects and to determine the correlation between these two angles. Methods. A total of 121 individuals, 59 females and 62 male, adolescents and adults aged between 10-65 yrs, were included in the study. The individuals were divided into two groups: a group of 60 adolescents (31 female,29 males), the age was 10- 20 yrs, and a group of 61 adults (28 females,33 males) aged 20-65 yrs. The subjects were also evaluated between themselves, independently, within each age group. Radiographic images were evaluated by using the 3.0.1.55 version of the KarPacsViewer application. Measurement points were determined, and angles between these points were measured. Statistical analyzes were made using the SPSS 15.0 program. Results. When the correlation for 121 individuals was assessed independently of their sex, no statistically significant relationship was found between RI angle and age (p=0.616; r=-0.046). A statistically negative (or opposite) relationship was found between VC angle and age (p<0.001; r=-0.396). When women and men were compared in terms of RI and VC angles, no statistically significant difference was found (p=0.958; p=0,165, respectively). VC angle decreased as the age increased in females (p = 0.004; r=-0.365), while both the RI and VC angles decreased with increasing age in males ( p= 0.032, r=-0,273; p<0.0001, r=-0,445, respectively). Conclusion. In conclusion, our findings regarding RI and VC angles offer an advantage in terms of determining which plate designs are most appropriate in planning surgical procedures and treatment processes.

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Open Reduction and Volar Plate Fixation of Dorsally Displaced Distal Radius Fractures: A Prospective Study of Functional and Radiological Outcomes

Abstract: Open reduction and internal fixation with volar plating of dorsally displaced intra-articular distal radius fractures is an excellent technique with acceptable radiological fracture union and satisfactory functional outcome of the wrist.

Cited by 2 publications

References 10 publications

Functional Outcomes of Distal Radius Fractures Managed With 2.7MM Variable Angle Volar Locking Compression Plates

Functional Outcomes of Distal Radius Fractures Managed With 2.7MM Variable Angle Volar Locking Compression Plates

Correlation of the radial inclination angle in the distal part of the radius with the volar cortical angle and age-related changes of these angles

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