Studying a lateral approach of plating of the lower 2/3rd diaphyseal fractures of the radius

Abstract

Introduction: Present study was conducting for evaluation of lateral approach for plating of the lower 2/3rd diaphyseal fractures of the Radius in terms of surgical exposure, Intra-operative problems and Radiological and functional outcome. Methodology: The study included 25 cases of lower 2/3rd diaphyseal fractures of the Radius with or without fracture of the Ulna. Cases were selected randomly. Inclusion Criteria: All adult patients of either sex; Fractures involving lower 2/3rd diaphysis of the Radius with or without fracture Ulna; Transverse/oblique/spiral/comminuted (50% of diameter, and Fracture with neurovascular injury. Results: Present study was conducted on 25 patients were followed Majority of patients were < 55 years of age. Most common mode of injury in this study was RTA, having 12 patients, which was 48% of total followed by assault (28%). In majority of cases (72%) lateral cutaneous nerve of forearm was not encountered during surgical dissection. In maximum number of cases Small DCP was used in 88% for fracture fixation. Conclusion: The lateral approach is recommended as an alternative for lateral plating of fractures of the lower two thirds of the radius. It is safe, follows biological principles, has a low risk and is easy to do.