A retrospective clinical study of volar Barton fractures using t- Elli’s plate and locking distal end radius plate and screws

Abstract

Aim To evaluate the functional and radiological results of treating unstable volar Barton's fractures of the distal radius with the T-buttress plate and locking plate Methods: This was a retrospective study at our hospital. We used open reduction and internal fixation with a 3.5mmT-buttress plates and lockingplate in volarly displaced, intraarticular fractures of the distal radius which were displaced volarly. The volar tilt, radial length, articular step-off and intraarticular gap between fragments were improved after surgery. We included 40 patients, comprising 37 men and 3 women with a mean age of 31 years (range from 20-62 years).12 patients were treated with locking plate whereas rest of 28 patients were treated with T butress plate and scerws. Preoperative, postoperative, and final follow-up radiographs were compared. The time to initiation of active range of motion was determined. Final follow-up range of motion and complications were reported. Mean follow-up time after injury was 6 months. Results: At final functional assessment, the scores of 18 patients were excellent, 5 patients good, 5 patients fair in patients treated with T butress plate and screws. 7 patients excellent, 4 good, 1fair in patients treated with locking plate and screws according to a criteria described by Gartland and Werley. No non-union or infection occurred. No difference in the improvement was seen in patients treated with locking plate and screws. Conclusion: Treatment of volar Barton's fractures of the distal radius with a 3.5mm T-buttress plate or locking plate leads to satisfactory results, provided the operative technique is carefully performed to prevent complications. Rigid fixation of the fracture is important for good outcome no matter the type of implant used.