Su R Gical Management of Fractures of Distal End of Radius With Locking Compression Plate

Abstract

BACKGROUND AND OBJECTIVE:The Irish surgeon Abraham Colles described DRFs (distal radial fractures) in the 1814 volume of the Edinburgh Medical Surgical Journal. Although his description was based on clinical examination alone (because radiography had not yet been invented), it is quite accurate, and it is Colles's name that is most often associated with this fracture in the English-speaking world. Colles stated, "One consolation only remains, that the limb will at some remote period again enjoy perfect freedom in all of its motions and be completely exempt from pain." This claim that all DRFs, despite displacement, will fare well has been a source of criticism. Incidence of fractures of distal radius are increasing due to more geriatric population and road traffic accidents and at the same time surgical treatment option for the same are modified continuously. The fundamental goal treatment of distal radial fractures is restoration of normal or near normal alignment and articular congruity. A recent trend in internal fixation has been a move towards locking screw implants which can rigidly stabilize cancellous fragmented bone that is normally not amenable to screw fixation. RESULT: The study comprised of 15 male and 5 female patients aged from 22 to 70 years with mean age of 42.82 years. The average duration from date of injury to date of surgery was 2.35 days. The follow up ranged from 9 to 18 months. Using the demerit scoring system of Gartland and Werley we had 50% excellent 40% good, 10% fair and 0 poor results. INTERPRETATION AND CONCLUSION:Open reduction and internal fixation of distal radius fracture with volar locking compression plate provides stable fixation, can restore articular congruity and results in good to excellent functional outcome with minimal complication.