To Assess the Functional and Radiological Outcomes of Intra-Articular Fractures of Distal end Radius by Open Reduction and Internal Fixation with Locking Distal Radius Volar Plate

Abstract

Background: Intra-articular fracture distal radius is a common fracture and remains one of the most challenging fractures to treat without any complications. In unstable intra-articular fractures, re-establishment of intra-articular integrity of the wrist and maintaining the radiological parameters are often not possible with close methods. In such cases where an open reduction is required, various surgical methods and fixation materials can be used. Materials and Methods: A total of 35 patients with clinico-radiological diagnoses of intra-articular fractures of the distal end of the radius participated in the study. All the patients were followed up for a minimum of 6 months after the procedure, and the observations thus made were tabulated. Results: Functional outcome in terms of Quick DASH was excellent to good in 88.6% patients on the basis of Quick Dash Score Grading with no significant loss of radiographic reduction and a better range of movements throughout the follow-up period. Conclusion: Volar plate fixation is viable and one of the most favorable means of management with maximum anatomical restoration and functional gain.