Abstract

Surgical management of fractures of distal end radius with locking compression plate

Highlights

  • Fractures of the distal end of radius are the most common fractures in the upper extremity and it constitutes to 75% of all forearm fractures

  • Aim: To assess the functional outcome of fracture of distal end of radius managed with locking compression plates

  • Once stable fixation was achieved and hemostasis secured, the wound was closed in layers and sterile compression dressing was applied

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Summary

Introduction

Fractures of the distal end of radius are the most common fractures in the upper extremity and it constitutes to 75% of all forearm fractures. Fractures of distal end of radius continue to pose a therapeutic challenge. Many methods like closed reduction and casting, pins and plaster, percutaneous pinning, external fixation with ligamentotaxis, internal fixation, combined internal and external fixationand arthroscopically assisted reduction have come up for treating the fractures in the distal end of radius [2]. Use of fixed angle locking plates with locking screws for fractures of distal radius support the subchondral bone and resist axial forces and an additional benefit is it provides additional strength to fixation by constructing a scaffold under the distal radial articular surface. Aim: To assess the functional outcome of fracture of distal end of radius managed with locking compression plates. All the patients were followed up for a period of 6 months. Conclusion: Volar approach provides both access with minimal surgical trauma on distal radius and fixation with a better adaptation to surrounding tissues

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