Functional Outcome of Intraarticular Fracture of Distal Radius Managed by Volar Locking Plate

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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Functional Outcome and Complications at 2.5 Years Following Volar Locking Plate Fixation of Distal Radius Fractures

Journal of Hand and Microsurgery ◽

10.1007/s12593-014-0155-1 ◽

2016 ◽

Vol 07 (01) ◽

pp. 18-24 ◽

Cited By ~ 10

Author(s):

Robert MacFarlane ◽

David Miller ◽

Lynn Wilson ◽

Carl Meyer ◽

Cronan Kerin ◽

...

Keyword(s):

Functional Outcome ◽

Distal Radius ◽

Locking Plate ◽

Plate Fixation ◽

Distal Radius Fractures ◽

Volar Locking Plate ◽

Radius Fractures ◽

Locking Plate Fixation

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A prospective study to assess the functional outcome of AO Type 23.B3 distal radius fractures treated with volar locking plate osteosynthesis

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2020.v6.i4l.2427 ◽

2020 ◽

Vol 6 (4) ◽

pp. 831-834

Author(s):

Dr. Pradeep E ◽

Dr. Sathik Babu MB ◽

Dr. Prajin Raj M ◽

Dr. Dinesh Kumar S

Keyword(s):

Prospective Study ◽

Functional Outcome ◽

Distal Radius ◽

Locking Plate ◽

Plate Osteosynthesis ◽

Distal Radius Fractures ◽

Volar Locking Plate ◽

Radius Fractures ◽

Locking Plate Osteosynthesis ◽

A Prospective Study

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Results of open reduction and fixed angle locked volar plate fixation for fracture lower end of radius

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20194246 ◽

2019 ◽

Vol 5 (6) ◽

pp. 1055

Author(s):

Gaurav Kumar ◽

Varun Vijay

Keyword(s):

Functional Outcome ◽

Distal Radius ◽

Open Reduction ◽

Locking Plate ◽

Plate Fixation ◽

Volar Plate ◽

Volar Locking Plate ◽

Radius Fractures ◽

Fixed Angle ◽

Volar Plate Fixation

Background: The fracture of lower end radius is the most common fracture of upper extremity encountered in practice. Intra-articular fractures of distal radius present a challenging task to the operating surgeon. Open reduction and internal fixation using volar fixed-angle plates has shown to be a valid treatment option for unstable, dorsally displaced distal radial fractures. The present study was undertaken to evaluate the functional outcome of unstable distal radius fractures treated with fixed angle volar locking plate.Methods: The current study aimed at using fixed angle volar locking plate to treat unstable distal radius fractures. A total of 25 patients records were studied comprising of 19 males and 6 females with a mean of 44.5 years and followed up for a maximum of 1.5 year. Fractures were classified using the AO classification. The interpretation of functional outcome was done according to Mayo Wrist Score.Results: At final functional assessment, according to the Mayo wrist score, the scores of 6 patients were excellent, 10 patients good, 8 patients satisfactory and 1 patient poor. No non-union was reported in any patients. 3 patients developed minor complications in the form of superficial infection, hypertrophic scar and reflex sympathetic dystrophy and 1 patient developed major complication in the form of deep infection.Conclusions: Primary volar plate fixation of unstable distal radius fracture provides a stable construct that helps in early mobilization, better functional outcome and minimizes chances of complications and thereby is the treatment of choice for fracture distal end of radius.

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Functional outcome of treatment of fractures of distal radius with volar locking plate & crossed k wires

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2017.v3.i3k.117 ◽

2017 ◽

Vol 3 (2k) ◽

pp. 778-782

Author(s):

Sanjay Mulay ◽

Pushpak Kumar ◽

Abhishek Singh

Keyword(s):

Functional Outcome ◽

Distal Radius ◽

Locking Plate ◽

Volar Locking Plate ◽

K Wires

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Functional outcome of volar locking plate for unstable distal radius fractures

Journal of Chitwan Medical College ◽

10.3126/jcmc.v8i3.23749 ◽

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.

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