scholarly journals Comparison of clinic-radiological and functional outcome of intra articular distal end radius fractures managed by volar locking plate versus external fixation

2021 ◽  
Vol 9 (8) ◽  
pp. 2324
Author(s):  
Pankaj Vir Singh ◽  
Gagandeep Singh ◽  
Tejpal Singh ◽  
Abdul Ghani ◽  
Zubair A. Lone
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
External Fixator ◽  
Locking Plate ◽  
Plate Versus ◽  
Dash Score ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
Medical College ◽  
Articular Fractures

Background: Distal end radius (DER) fractures are most common fractures in upper limb. Intra articular fractures can be managed either by open reduction and internal fixation by volar locking plate or can be managed by closed reduction and external fixator application or by percutaneous pinning. The purpose of our study was to compare the functional outcome of volar locking plate with that of external fixation.Methods: A prospective cohort study was conducted between June 2019 to June 2020 in Government Medical College, Jammu on 46 patients with intra articular distal end radius fractures. Of which 26 were managed by volar locking plate and 20 were managed by external fixator. the results of both groups were compared on the basis of radiological parameter and range of motion achieved post operatively. The functional outcome was evaluated using DASH score and Gartland–Werley scale. Results: Final range of motion, grip strength were better in patients managed with volar locking plate (VLP) as compared to those who were managed with external fixator (EF). Radiographically, volar tilt, radial height were all better in VLP group than EF.Conclusions: We concluded that VLP is superior method to maintain reduction till the union occurs and prevents the fracture collapse in intra articular distal end radius fractures as compared with external fixator. Thus, giving better functional and radiological outcome than the external fixator.

scholarly journals Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis

2013 ◽  
Vol 8 (2) ◽  
pp. 67-75 ◽  
Author(s):  
J. C. Goslings ◽  
Monique M. J. Walenkamp ◽  
Abdelali Bentohami ◽  
M. Suzan H. Beerekamp ◽  
Rolf W. Peters ◽  
...  
Keyword(s):  
Functional Outcome ◽  
External Fixation ◽  
Distal Radius ◽  
Locking Plate ◽  
Meta Analysis ◽  
Distal Radius Fractures ◽  
Plate Versus ◽  
Volar Locking Plate ◽  
Radius Fractures

scholarly journals A COMPARATIVE STUDY OF VOLAR LOCKING PLATE VERSUS EXTERNAL FIXATION FOR DISPLACED INTRAARTICULAR DISTAL END RADIUS FRACTURES AT ORTHOPAEDICS DEPARTMENT OF DMCH, LAHERIASARAI, BIHAR

2021 ◽  
pp. 1-3
Author(s):  
Kunal Shankar ◽  
Vikash M. Harinandan ◽  
Laljee Chaudhary ◽  
Debarshi Jana
Keyword(s):  
External Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
External Fixator ◽  
Locking Plate ◽  
Plate Versus ◽  
Radius Fracture ◽  
Volar Locking Plate ◽  
Radius Fractures

Background: Distal radius fracture is more common accounting for 1/6th of the all fractures. With this background, this study was carried out to compare the functional outcome of volar locking plate and external fixator to the displaced intra-articular distal end radius fractures using Modified Mayo Wrist Score (MMWS). Materials and methods: This study included those patients with distal radius fracture attending the Orthopaedic Department of DMCH, Laheriasarai, Bihar, during January 2019 to December 2019. Patients were randomised based on - even and odd day of the week. This included two set of group with twenty patients in each group- one with volar locking plating and other with external fixation. Patients were followed up at 6 months and 1 year. At each follow up, the pain and range of movements were assessed by MMWS score which was entered in Microsoft excel and analysed in SPSS 20. Results: At the end of one year after surgery, we observed that external fixation technique was superior for treating displaced intra-articular comminuted distal end radius fractures than volar locking plate. Conclusion: External fixator showed more advantageous than volar locking plates after 1year of follow up.

scholarly journals Functional Evaluation of Surgical Fixation of Distal Radius Fractures

2020 ◽  
Vol 7 (48) ◽  
pp. 2825-2830
Author(s):  
Madhu R.G. ◽  
Manikumar C.J.
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Distal Radius ◽  
Road Traffic ◽  
Distal Radius Fractures ◽  
Dash Score ◽  
Functional Evaluation ◽  
Radius Fractures ◽  
Articular Fractures ◽  
Quick Dash

BACKGROUND Distal radius fracture is the most common orthopaedic injury in adults. It has an approximate incidence of 1:10,000 people and 16 % are of skeletal and 74 % of forearm fractures. Many fractures of the distal radius are relatively uncomplicated and can be effectively managed with closed reduction and immobilization in a cast. Over the past twenty years, more sophisticated internal and external fixation techniques and devices for the treatment of distal radius fractures have been developed keeping up with the demands of the modern day. Functional outcome seems to follow the surgical treatment which results in more anatomical results. METHODS A total of thirty (n = 30) distal radial fractures were treated surgically by various methods at Government General Hospital, Kakinada. They were evaluated functionally with Quick Dash score at one and half, 3 and 6 months duration. Twenty cases were treated with a volar plate through Henry’s approach. Six cases were treated with per cutaneous k wire fixation and four cases were treated with forearm external fixator application (Ligamentotaxis). Final outcome was evaluated by QUICK DASH evaluation questionnaire. In each patient Quick Dash score were taken at 6 weeks, 3 months & 6 months interval along with range of motion at 6months interval up to 2 years. RESULTS There were 22 (73.3 %) males and 8 (26.6 %) females. The age group ranged between 15 - 80 years. Eleven (36.6 %) patients had right side involvement. Nineteen (63.3 %) had left side involvement. Of the 30 cases, mode of injury was fall on outstretched hand in 21 (70 %) patients and road traffic accident in 9 (30 %) patients. Functional outcome correlated positively with the degree of anatomical reduction. CONCLUSIONS Functional outcome correlated positively with the degree of radial length, volar tilt and radial inclination achieved when compared to normal side. The method of internal fixation with volar locking plate appears to be favoured by many akin to its ability to sustain the reduction. Comminuted intra articular fractures fared less well with more number of complications. However, fracture union time seems to be unaffected by the method of fixation. KEYWORDS Radius A02.835.232.087.090.700, Orthopaedic Procedures E02.718, Range of Motion, Articular E01.370.600.700

Evaluation of Patient-Reported and Clinician-Reported Outcomes of Volar Locking Plate Fixation for Distal Radius Fractures

2020 ◽  
Vol 25 (03) ◽  
pp. 359-363
Author(s):  
Nana Nagura ◽  
Kiyohito Naito ◽  
Yoichi Sugiyama ◽  
Hiroyuki Obata ◽  
Kenji Goto ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Distal Radius ◽  
Clinical Evaluation ◽  
Locking Plate ◽  
Distal Radius Fractures ◽  
Dash Score ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
Patient Reported

Background: Postoperative evaluation of wrist joint trauma is divided into patient-reported outcomes (PROs) and clinician-reported outcomes (CROs). We investigated the association of the Q-DASH score as the postoperative PROs and the Mayo wrist score as the postoperative CROs with clinical evaluation in patients with distal radius fractures surgically treated using a volar locking plate (VLP). Moreover, whether PROs and CROs are correlated to the clinical evaluation was investigated. Methods: The subjects were 109 patients surgically treated for distal radius fractures at our hospital between June 2013 and May 2017. Forty-one patients were male, 68 patients were female, and the mean age was 61.4 (19–86) years old. The fracture type was AO classification A type in 30 patients (A2: 25, A3: 5), B type in 5 (B2: 1, B3: 4), and C type in 74 (C1: 50, C2: 11, C3: 13). All patients were surgically treated using VLP. The range of motion of the wrist, grip strength the Visual Analog Scale (VAS), the Q-DASH score (PROs), and the Mayo wrist score (CROs) were investigated. Each evaluation was compared as the clinical outcome between at 3 months after surgery and the final follow-up. In addition, the correlations of the postoperative PROs and CROs with the clinical evaluation were analyzed. Results: Each evaluation was significantly improved compared with that at 3 months after surgery. There was a significant correlation between PROs and CROs at 3 months after surgery and the final follow-up. However, the range of motion of the wrists was not significantly correlated with PROs or CROs at 3 months after surgery or at the final follow-up. Conclusions: On evaluation after surgery for distal radius fractures, PROs and CROs improved early after surgery (3 months after surgery) before the final follow-up, and an inverse correlation was present between these scores.

scholarly journals Functional outcome of volar locking plate for unstable distal radius fractures

2018 ◽  
Vol 8 (3) ◽  
pp. 38-44
Author(s):  
Bishnu Dev Sharma ◽  
Akesh Prajapati ◽  
Ananda Prasad Regmi ◽  
Jyoti Sitaula ◽  
Sujit Shrestha ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Distal Radius ◽  
Locking Plate ◽  
Distal Radius Fractures ◽  
Locking Plates ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
Medical College ◽  
Loss Of Reduction ◽  
One Year

Introduction: Distal radius fractures are the most common fractures in elderly. Unstable fractures are best managed surgically and the results of volar locking plates have been promising. The purpose of this study is to determine the functional outcome of volar locking plates in the treatment of unstable distal radius fractures. Methods: Forty-five patients with 46 unstable distal radius fractures were enrolled for this study, conducted at Chitwan Medical College from September 2016 to April 2017. All patients were treated with a 3.5mm titanium volar locking plate and followed-up for a minimum of one year. The assessment was done using radiological evaluation and Cooney modification of the Green and O’Brien scoring system. Results: Twenty-three men and 22 women with age ranging from 15-75 years (mean 43.22 years) were followed-up for an average of 16.53 months. There were 17 type A fractures (5 A2, 12 A3), 11 type B fractures (3 B1, 1 B2, 7 B3), and 18 type C fractures (4 C1, 12 C2, 2 C3) (AO classification). The mean time for union was 7.96 weeks. Functional outcome using modified Green and O’Brien Score was 20 excellent, 15 good, 7 fair and 4 poor results (76.1% good to excellent results). The overall complication rate was 15.22%. Conclusion: Volar locking plates provide adequate fixation for unstable distal radius fractures with minimal loss of reduction and satisfactory functional outcome.

scholarly journals A study on the outcome of displaced midshaft non-comminuted clavicle fractures treated with anatomical locking plate versus titanium elastic nail

2020 ◽  
pp. 221049172097518
Author(s):  
Vineet Thomas Abraham ◽  
Chandrasekaran Marimuthu
Keyword(s):  
Functional Outcome ◽  
Locking Plate ◽  
Plate Versus ◽  
Dash Score ◽  
Titanium Elastic Nail ◽  
Constant Murley Score ◽  
Elastic Nail ◽  
Clavicle Fractures ◽  
The Mean ◽  
Quick Dash

Purpose: Fixation of displaced midshaft clavicle is well known to decrease nonunion, malunion and shoulder disability as compared to nonoperative treatment. This study was done to compare the clinical and functional outcome of group 1 clavicle fractures treated with anatomic locking plates (ALP) versus Titanium elastic nail (TEN). Methods: We studied patients presenting with displaced midshaft clavicle fractures treated with ALP or TEN. The study period was from Jan 2013 to Dec 2016. Patients were reviewed and at each visit clinical and radiological progress of union was noted, complications if any were noted, functional assessment was done using the quick Dash score and Constant Murley score. Results: A total of 116 patients met our inclusion criteria. 62 patients were treated with TEN and 54 with ALP. Bony union was achieved at an average of 11.8 weeks in the TENS group and 12.8 weeks in the ALP group post operatively and this was found to be significant. The mean postoperative Constant Murley score in the ALP and the TEN groups were 92.8 (range 80–97), and 93.7 (82–97) respectively. The mean postoperative quick dash score in the ALP and TEN groups were 2.48(range from 0 to 6.8) and 2.1 (range 0–9.1) respectively. Conclusion: Both Anatomical locking plate and TEN are good options for the treatment of non-comminuted mid clavicular fractures as they have a similar functional outcome. TEN nail insertion has the advantage of being minimally invasive, having a faster union time and may be recommended in midshaft clavicle fractures without comminution.

scholarly journals Osteosynthesis of Unstable Fractures of Distal Radius with Volar Locking Plate

2013 ◽  
Vol 2 (1) ◽  
pp. 27-34
Author(s):  
RL Pradhan ◽  
S Sharma ◽  
BK Pandey ◽  
RR Manandhar ◽  
S Lakhey ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Distal Radius ◽  
Locking Plate ◽  
Distal Radius Fractures ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
Volar Aspect ◽  
Clinical And Radiological Outcome ◽  
Clinical Scoring ◽  
Unstable Fractures

Background: Various surgical treatment methods are available for unstable distal radius fractures. Clinical and radiological outcome with volar locking plate has been very satisfactory. The purpose of this prospective study is to evaluate the results of the treatment of unstable fractures with the volar locking plate with regard to loss of reduction, functional outcome and complications. Methods: Unstable distal radius fractures were enrolled for the study from May 2008 until July 2010. All patients were treated with 3.5 mm distal radius volar locking plate and assessed by clinical and radiological examination. The clinical scoring chart modified by Cooney was used to evaluate the functional outcome. Results: Eighteen male and 12 female patients with the average age of 42.53 (range 30- 64years) were followed up for a period of 9 to 34 months (average.23 months). There were fourteen A3 fractures, nine C1 fractures, six C2 fractures, and one C3 fracture, whereas one had a Gustilo grade I open wound on the volar aspect. Seven of the fractures had associate fracture of the ulnar styloid. The functional outcome was excellent in 23 (76%), good in 6 (20%), fair in 1 (4%) and none had poor outcome. There were very few complications in our series. Conclusion: Unstable fractures of distal radius treated by open reduction with volar locking plate provides adequate fixation with no collapse in reduction and also have satisfactory functional outcome with minimal complications. DOI: http://dx.doi.org/10.3126/noaj.v2i1.8137 Nepal Orthopaedic Association Journal Vol.2(1) 2011: 27-34

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