
Introduction: This study is regarding the fracture of distal end of radius and its management. There are several treatment modalities available for fracture distal end radius. Complication rate with majority of modalities is very high. The prevalence of radius fracture at distal end was reported to be about 37 for every 10,000 person-years among female population while in male population it is about 9 for every 10,000 person-years over the age of 35 years. It was proposed that volar locking plate is better to improve patient’s outcome in terms of radiological parameters and also to increase the range of motion. Several volar and dorsal plates are available for managing the distal radius fractures in the India. This can be classified as fixed-angle locking plates, non-locking and recently available variable angle locking plates. Aims and Objectives: To evaluate the outcome of applying variable angle locking plates in comparison to existing treatment modalities in terms of improvement in radiological parameters and functional outcome. Materials and Methods: In this retrospective study, patients with distal radius fractures treated with variable angle locking plate were considered. The outcome parameters for analysis were determined at different follow up time i.e. immediate post op, at 8th week and 6 months after operation. Results: The study found that the improvement in radiological picture and functional movements were significantly better (p>0.05) and suggest to use volar variable angle locking plate as better alternative than ORIF and fixing with fixed angle locking plate. Gartland and Werley’s scores also came to be excellent with 73.52% of patients. Conclusion: The study has concluded that variable angle volar locking plate can be used with lower complication rate and should be considered in the guidelines to be used as better treatment modality to the existing treatment modalities.
Introduction: This study is regarding the fracture of distal end of radius and its management. There are several treatment modalities available for fracture distal end radius. Complication rate with majority of modalities is very high. The prevalence of radius fracture at distal end was reported to be about 37 for every 10,000 person-years among female population while in male population it is about 9 for every 10,000 person-years over the age of 35 years. It was proposed that volar locking plate is better to improve patient’s outcome in terms of radiological parameters and also to increase the range of motion. Several volar and dorsal plates are available for managing the distal radius fractures in the India. This can be classified as fixed-angle locking plates, non-locking and recently available variable angle locking plates. Aims and Objectives: To evaluate the outcome of applying variable angle locking plates in comparison to existing treatment modalities in terms of improvement in radiological parameters and functional outcome. Materials and Methods: In this retrospective study, patients with distal radius fractures treated with variable angle locking plate were considered. The outcome parameters for analysis were determined at different follow up time i.e. immediate post op, at 8th week and 6 months after operation. Results: The study found that the improvement in radiological picture and functional movements were significantly better (p>0.05) and suggest to use volar variable angle locking plate as better alternative than ORIF and fixing with fixed angle locking plate. Gartland and Werley’s scores also came to be excellent with 73.52% of patients. Conclusion: The study has concluded that variable angle volar locking plate can be used with lower complication rate and should be considered in the guidelines to be used as better treatment modality to the existing treatment modalities.
Locking Plate, Radius Fracture, ORIF, Distal Radius Fracture, Volar Locking Plate
Locking Plate, Radius Fracture, ORIF, Distal Radius Fracture, Volar Locking Plate
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