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 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 Radiographic analysis in reduction loss after distal radius fracture fixation with variable angle volar locking plate

2020 ◽  
Author(s):  
Pin-Chieh Fang ◽  
Tak-Yu-Yubie Lo ◽  
Chun-Ying Cheng ◽  
Ying-Chao Chou ◽  
Alvin Chao-Yu Chen
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Fracture Fixation ◽  
Locking Plate ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
P Value ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
The Difference

Abstract Background Reduction loss is commonly seen even in the newly designed locking plate fixation for distal radius fractures. Our study purpose is to investigate the efficacy of the variable angle volar locking plate (VAVLP) in maintenance of fracture fixation. Methods A total of 37 patients of unilateral distal radius fractures receiving VAVLP fixation were included. Forearm radiographs immediately after surgery and those at 3 months were retrospectively reviewed for analysis of radiographic parameters including radial height (RH), ulnar variance (UV), radial inclination (RI), volar tilt (VT), tear drop angle (TDA), distal dorsal cortical distance (DDD) and Soong classification (SC). Results By comparing the 3-month measurement and normal data, the difference of RH/UV/TDA was significant (p-value < 0.001) while the difference of RI/VT was insignificant. However, there was no significant difference regarding those five parameters between postoperative and 3-month measurement. Linear regression on DDD exhibited positive dependence with p-value of 0.002 between postoperative and 3-month changes. Postoperative SC was grade 0 in 13 patients, grade 1 in 21, and grade 2 in 3. There were 7 of Gr 0 and 2 of Gr 1 making one grade up.Conclusion VAVLP fixation in distal radius fracture can maintain radiographic alignment without significant reduction loss for at least 3 months. Realignment within normal range was in RI and VT, but not in RH/UV/TDA.

scholarly journals Radiographic Analysis in Reduction Loss After Distal Radius Fracture Fixation with Variable Angle Volar Locking Plate

2020 ◽  
Author(s):  
Pin-Chieh Fang ◽  
Tak-Yu-Yubie Lo ◽  
Chun-Ying Cheng ◽  
Ying-Chao Chou ◽  
Alvin Chao-Yu Chen
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Fracture Fixation ◽  
Locking Plate ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
P Value ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
The Difference

Abstract Background Reduction loss is commonly seen even in the newly designed locking plate fixation for distal radius fractures. Our study purpose is to investigate the efficacy of the variable angle volar locking plate (VAVLP) in maintenance of fracture fixation. Methods A total of 37 patients of unilateral distal radius fractures receiving VAVLP fixation were enrolled. Forearm radiographs immediately after surgery and those at 3 months were retrospectively reviewed by orthopedist, radiologist and medical students for analysis of radiographic parameter including radial height (RH), ulnar variance (UV), radial inclination (RI), volar tilt (VT), tear drop angle (TDA), distal dorsal cortical distance (DDD) and Soong classification (SC). Results By comparing the 3-month measurement and normal data, the difference of RH / UV / TDA was significant (p-value of 0.000) while the difference of RI / VT was insignificant. However, there was no significant difference regarding those five parameters between postoperative and 3-month measurement. Linear regression on DDD exhibited positive dependence with p-value of 0.002 between postoperative and 3-month changes; predictability after modification was 21.3%. Postoperative SC was grade 0 in 13 patients, grade 1 in 21, and grade 2, in 3. There were 7 of Gr 0 and 2 of Gr 1 became one grade up.Conclusion VAVLP fixation in distal radius fracture can maintain radiographic alignment without significant reduction loss for at least 3 months. Realignment within normal range was in RI and VT, but not in RH / UV / TDA.

scholarly journals Volar locking plate versus external fixation for unstable dorsally displaced distal radius fractures–A 3-year cost-utility analysis

PLoS ONE ◽  
2020 ◽  
Vol 15 (10) ◽  
pp. e0240377
Author(s):  
Jenny Saving ◽  
Emelie Heintz ◽  
Hans Pettersson ◽  
Anders Enocson ◽  
Cecilia Mellstrand Navarro
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
Locking Plate ◽  
Cost Utility ◽  
Cost Utility Analysis ◽  
Distal Radius Fractures ◽  
Plate Versus ◽  
Volar Locking Plate ◽  
Utility Analysis ◽  
Radius Fractures
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