Clinical outcome of distal radius fractures fixed with volar plating

Abstract

Introduction: There is an increase in the incidence of fracture of distal radius with the increase in life expectancy and also in young due to increased incidence of road traffic accidents and sports related trauma. They account for approximately one sixth of all fractures seen and treated. This study is intended to analyse the clinical outcome of open reduction and internal fixation of fractures using volar plate and screws. Aims: To Study the clinical outcome of intra and extra articular fracture of distal end of radius treated with open reduction and internal fixation by plating through a volar approach. Methodology: Prospective study conducted in during the period from June 2018 to November 2020. Patients attending to the Department of Orthopaedics at OPD or emergency department where chosen for the study based on previously stipulated inclusion and exclusion criteria. 30 patients underwent open reduction and plate osteosynthesis by a volar approach. They were then followed up for a period of 1 year and progress was monitored. Clinical, functional and radiological assessment were made by standard scoring systems at the end of the follow up period and compared.Results: It was inferred that volar plating showed good to excellent results in a distal radius fracture at the end of 1 year. We also inferred that a good radiological result was important to achieve a good clinical and functional outcome. Conclusion: Hence we suggest volar plate fixation for distal radius fractures, particularly in intra articular fractures, with stress on anatomical reduction of fracture.