Outcome analysis of fracture lower end radius (Ao Type B & C) treated by ORIF and plate

Abstract

Treatment of distal radius fractures is difficult due to comminution and joint involvement. Plating is now the standard treatment method for distal radius articular fractures because of higher rate of complications after conservative management. The aim of the study was to evaluate the usefulness of volar lokcing plate fixation method of distal radius fracture and to compare it with other results.We ealuated 28 patients from volar locking plates from December2012 to March 2017, treated for distal radius intraartiular fractures by using a volar locking compression plate. Standard X-ray and clinical assessment after 1year were measured and final outcome were assessed using modified Gartland and Werley score. At the end of 12 months, 17 cases out of 28 cases in which most of the excellent results in AO type B fractures (excellent oucome in 13patients out of 16patients i.e. 81.25% cases) as compared to type C fracture where it was 33.33% cases (excellent outcome in 4patients out of 12patients). One case developed of superficial wound infection which resolves with antibiotics. The distal radius fixation volar locking plate restores anatomy, helps in speedy movement of wrist and function, prevents postoperative collapse of fracture and hence is an excellent treatment method for distal radius fractures.