Functional outcome of open reduction and internal fixation of intra-articular distal radial fractures by volar locking plate

Abstract

Background: Intra-articular fracture of the distal end of the radius can be treated by various methods. The purpose of this study is to evaluate the functional outcomes of open reduction and internal fixation (ORIF) by volar locking plate (VLP) of intra-articular distal radial fractures. Materials and Methods: This is a single centre retrospective study conducted from April 2017 to May 2019 on adult patients having intra-articular distal radius fractures, who were treated by ORIF with VLP. As per medical records, the number of such patients for the study was 12. The fractures were classified as per the Frykman classification system. After operation, patients were followed up for a minimum of 24 weeks. Functional evaluation of the patients was done at the last follow-up according to the demerit point system of Gartland and Werley. Results: Twelve adult patients of intra-articular distal radius fractures were analysed retrospectively for functional outcomes of ORIF with VLP. The age ranged from 22 to 54 years, and males outnumbered females by a ratio of 2:1. The commonest mode of injury was found to be road traffic accidents (75%). The fractures were classified as per the Frykman classification system. Type III was the most common (50%), followed by Type IV (25%). The majority of the cases (58.3%) were operated in 2–5 days following injury. The mean time for union was 8 weeks. Functionally 11 (91.3%) patients had satisfactory (excellent + good) result at the final follow-up. Conclusion: ORIF with volar locking plate is a reliable, efficient, and rewarding procedure for intra-articular fracture of distal radius as it allows stable fixation with restoration of anatomy and function.