Functional outcome of extra articular, displaced lower end of radius fracture treated with ORIF + volar locking platting in elderly patients

Abstract

Objective: The aim of the study was to evalute short and medium term functinonal outcome of extra articular displaced lower end of radius fracture treated with open re duction with internal fixation (ORIF) using a volar locking plate in older adults (≥60 years of age).Materials and Methods: Prospective study was conducted in our department of Orthopaedics in our medical institution PIMSR (Parul Institute of Science and Research), Vadodara, between 2017 and 2019. Inclusion criteria included extra articular lower end of radius fracture in elderly patients (≥60 years of age).During the follow up, radiological and functional parameters were assessed and Gartland and Werley scoring was done.Results: Total 34 patients were operated with volar plate fixation. All patients in duration of follow up had a good functional outcome as per functional parameter with good radiological parameter and had less significant, very minimal complications.Conclusions: Volar locking platting in older adults (≥60 years of age) provide better restoration of radial length, radial inclination, volar angle with significant P value and its construct have good strength and stability which allow early mobilization of wrist, fingers and hand which avoid stiffness which provide better functional outcomes with very minimal complications and thereby is an upcoming method of choice for fracture distal end of radius.