End Radius Fractures Research Articles

EFFECT OF SRI LANKAN TRADITIONAL MEDICAL FORMULAE (KADUM BIDUM VEDAKAMA) ON FRACTURE HEALING (BHAGNA CHIKITSA) (AN OBSERVATIONAL CASE STUDY)

Distal radius fracture is one of the most common fractures with an incidence of 195.2/100,000 persons per year. The objective of this study was to observe the effect of different drug formulae used in traditional medicine in Sri Lanka for the fractures. 46 years old female patient with distal end radius fracture was se-lected from traditional orthopedic dispensary at Rathnapura district in Sri Lanka. Duration of the study was 5 weeks. It was observed that six prescriptions were used for the treatment. Improvements of main clinical features i.e. Sandhi Shula (Pain), Sandhi Shotha (local swelling), Sparsha Asahyathawa (local tenderness), Sandhi Hanthi (Impairment of functions) and Vikruthitha (Visible and palpable deformity) were analyzed by using prepared scoring system along with the line of treatment. Significant improvements were observed after the treatment. Pharmacodynamic properties of the main ingredients in the formulae support the rapid recovery of the presenting clinical features.

Comparison of External Fixation and Supplementary Kirschner-Wires Fixation With Volar Locking Plate for the Treatment of Intra- Articular Distal End Radius Fractures

Introduction: There are controversies regarding the benefit of open reduction and internal fixation with volar locking plates over closed reduction and external fixation along with supplementary Kirschner wires fixation for intra-articular distal end radius fracture. Therefore, this study aimed to compare the outcomes between external fixation along with supplementary Kirschner wires with volar locking plate in the treatment of intra-articular distal end radius fractures. Methods: This prospective, observational and analytical study was conducted over one and a half years. Forty-seven adults with displaced intra-articular distal end radius fracture were included in the study. Twenty-one cases were treated with closed reduction and external fixation along with supplementary Kirschner wires, whereas 26 patients were treated with open reduction and volar locking plate fixation. Results: At the end of three months, as per the Green and O’Brien scoring, the mean functional outcome score in the volar plate group was significantly better 80.77(±11.46) than the external fixation group 70.24(±10.66) (p=0.002). However, at the end of six months, the mean score in the volar plate group 86.15(±7.39) was not significantly different from the external fixation group 81.43(±9.63) (p= 0.63). Fracture reduction was achieved and maintained better in the volar locking plate group. Conclusion: Functional outcome of closed reduction and external fixation along with supplementary Kirschner wires is comparable with open reduction and internal fixation by volar locking plate in treatment of displaced intra-articular distal radius fractures. Radiological correction is achieved and maintained better with volar locking plates.

Outcomes of K-wire pinning in supracondylar fractures of humerus in pediatric age group: A comprehensive study

Supracondylar fractures, one of the most common elbow injury in children, involves the lower end of the humerus, usually affecting the thin portion of humerus through olecranon fossa or just above the fossa through the metaphysis. Considering the high frequency and the complications that can occur, great diligence is required to secure an excellent result and to avoid or minimize any complications. Objectives: The present study was done to assess the result of the surgery concerning the restoration of function, deformity and about prevention of complications of the fracture.Methodology: The prospective study, conducted on 40 cases of supracondylar fractures (Type II and Type III), who underwent open/closed reduction with K-wire fixation b/w August 2019 to August 2020, at NDMC medical college and Hindu Rao hospital, Delhi, India. It included 30 males and 10 females and the average age of presentation was 7.3 years. 30 patients had left-sided and 10 of them had right-sided fractures. Type 3 fracture was seen in 28 (24 posteromedial and 4 posterolateral) and Type 2 in 12 patients. Two patients had radial nerve injury, 2 had median nerve injury and 1 had distal end radius fracture. All the 12 cases with type II underwent closed reduction, while of the type III cases, 10 of them underwent closed and 18 of them underwent open reduction. 16 patients underwent 2 cross-wired pinning, 2 of them underwent lateral pinning and 22 of them underwent 3 wire pinning. Post-operatively, 1 patient developed pin tract infection and 1 had cubitus varus. All the patients were reviewed at 3, 6 and 12 weeks postoperatively and assessed for range of movements and deformity. Results: Based on Flynn’s criteria, of the 40 cases, 34 patients obtained excellent results, 4 of them had good results and 2 of them had fair results. Conclusion: This study shows that anatomical reduction and K-wire pinning in the management of supracondylar fracture provides good results and minimal loss in the range of movement with relatively fewer complications. Thus, we conclude that percutaneous pinning with either lateral entry K-wires or cross k-wires or a combination of lateral wires with medial wire is an appropriate treatment of choice for displaced supracondylar fracture of the humerus in children either by closed reduction or open reduction.

Functional and radiological outcome of unstable lower end radius fracture treated with percutaneous kirschner wires and cast in adults

Background: Fracture of lower end of radius is common fracture in orthopaedic practice. No age is immune to this fracture but commonly seen in elderly population. Till date there is no consensus in management of this fracture. Variety of treatment is available in literature from casting to plating of this fracture. Minimal invasive technique of percutaneous k-wire fixation and cast is cost-effective with better functional end results.Material and method: In this study, Frykman`s classification system has been used to describe the fracture types. Frykman type II and IV were more common fracture pattern. All patients were treated with percutaneous multiple k wires and cast. Cast and k- wires were removed after six weeks. Results: In this study thirty patients were treated by this technique. results were analysed according to Lindstrom`s criteria for anatomical and functional end results. All patients had good to excellent functional results. Discussion: Though this fracture is described sssince so many years, unsatisfactory results are also common. Percutaneous pinning is attempted to bridge the gap between conservative and more invasive procedures. This fracture is commonly seen in elderly population. Co-morbid medical conditions are highly present in these people. So any invasive procedure is not without any risk. This minimal invasive procedure is gold standard in these age groups. In this study most of the patient had good functional end results. Conclusion: Minimal invasive percutaneous Kirshner wire fixation is superior method of treatment for distal end radius fractures. There is very low incidence of complication and unsatisfactory results.

A study of the functional outcome of distal end radius fractures treated by intrafocal technique of Kapandji

This study is aimed to assess the functional outcome of performing intrafocal technique of Kapandji in case of displaced extra-articular fracture of distal end of radius with 26 subjects, with Gartland and Werley Scoring, 64% patients had excellent results and 36% had good results and radiological assessment by Sarmiento modification of Lindstorm criteria, almost all patients turned out to be excellent.

Intra-articular distal radius fractures treated with variable angle locking compression plates: An outcome analysis

Background: Methods for surgical fixation of intra-articular distal end radius fractures has been on an evolving course. One among the novel developments is the use of variable angle locking plate. Its multidirectional locking option facilitates fixation of even the most complex of the fractures, especially in osteoporotic bone. Aim: To study the functional and radiological outcome of operative management of intra-articular fractures of distal end of radius with variable angle locking compression plates. Material & Methods: 56 adult patients (36 males and 20 females) who had intra-articular distal radius fractures satisfying the study criteria & treated at Sunshine hospitals, Secunderabad, Telangana, India between October 2015 and September 2017 using variable angle locking compression plates were taken up for the study. The cases were followed up at 6 weeks, 3 months, 6months and 12 months postoperatively. During each visit, functional outcome was assessed using Demerit score system of Gartland and Werley. Radial height, radial angulation and palmar angulation were measured from the xray to assess the radiological outcomes. Results: There were 2 type B1, 8 type B2, 16 type B3, 13 type C1, 12 type C2 and 5 type C3 as per the AO classification. Functional assessment showed 29(51.78%) excellent results, 21(37.5%) good results, 6(10.71%) fair results and no poor results There was no significant difference in the radiological parameters between different follow-ups as signified by p value >0.05 implying that there was no loss of fixation. One patient had flexor pollicis longus tendon rupture at 13 months postop & was managed by Plate removal + transfer of Flexor Digitorum Superficialis tendon. Two patients developed superficial wound infection which susbsided with oral antibiotics. One patient developed Reflex Sympathetic Dystrophy which was managed medically. One patient had Screw malpositioning but remained asymptomatic through out the follow up period. Conclusion: Variable angle locking plate offers predictable and good outcome in intra-articular fractures of the distal end of the radius.

A comparative study of outcome of distal end radius fracture treated with k wire and cc screw fixation vs closed reduction pop cast application

A comparative study of outcome of distal end radius fracture treated with k wire and cc screw fixation vs closed reduction pop cast application

Post-operative complications of displaced unstable distal end radius fracture treated by volar plating

<p class="abstract"><strong>Background:</strong> Fracture of the distal radius (DRF) is one of the most common fractures present in emergency. The most common operative treatments of these fractures are open reduction and internal fixation with volar locking plates. The incidents and types of complications associated with the use of these operations is an ongoing process till date. The objective of the study was to find demographic profile of patients of displaced unstable distal end radius fracture, and to study the post-operative complications among above patients treated by volar plating.</p><p class="abstract"><strong>Methods:</strong> We performed a prospective study documenting types of complications and their occurrence in a group of patients who received open reduction and internal fixation. Our definition of a complication was a case in which the patient had one or more complications which required an intervention medical or surgical.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of 33 patients were included, most of the cases, (63.63%) were from the age group 21-40 years. We had 4 cases (12. 12%) females, and 29 cases (87.88%) males. Post-operative complications were noted in 7 individuals 22.2 % and no complications noted in 26 cases (78.8%). In 30 cases there was no any deformity found in postoperative one year follow up, 2 patients develop prominent ulnar styloid found in follow up of one year ,and 1 residual dorsal tilt found after one year.</p><p class="abstract"><strong>Conclusions:</strong> Our finding that 22.2% suffer from complication when treated using a volar locking plate must be taken into consideration when surgeons choose between conservative or operative treatment for DRF treatment. A few other studies have looked at the incidents of complications and have reported similar results.</p>

A novel technique of ulna strut grafting for post-septic radial clubhand deformity: Case series of 4 patients with review of literature

BackgroundThough distal end radius fractures are one of the commonest fractures to occur, their nonunions are extremely uncommon. Out of these, post-septic defect nonunions with acquired radial clubhand deformity are even more rare and pose unique problems in management. We present a case series of 4 patients of post-septic radius nonunion with acquired radial clubhand deformity successfully treated with a novel technique of using Ulna Strut grafting for radius defect after ulnar shortening. All 4 patients have a good functional and cosmetic outcomes with radiological union at the cost of minimal limb length discrepancy of the forearm. MethodsThis is a case series of 4 patients with a retrospective study design and study duration of 3 years from August 2016 till March 2019.4 patients presenting to us with post-septic defect nonunions of radius with an acquired radial clubhand deformity were selected with a mean age of 19.75 years which included 2 males and 2 females. ResultsThe mean time for radiological union was 3.125 months. The average range of motion at the wrist joint was 35° of flexion and 50° of extension with average protonation being 47.5° and supination being 75°.There were no subsequent complications reported in these patients except for a minimal limb length discrepancy with satisfactory functional outcomes in all the patients. ConclusionThe use of Ulnar shortening and Ulna strut grafting for the treatment of defect nonunions of radius with acquired clubhand deformity yielded predictable results. It is a simple procedure that does not require additional training, with no additional morbidity of iliac crest or fibula bone grafting and had a minimum complication rate. The technique looks promising in the future, though a study on a larger population would further strengthen the predictability of this unique technique.

The effect of pronator quadratus repair on outcome after volar plating of distal radius fracture

Background: The incidence of fracture distal end of the radius is increasing with increasing life expectancy along with osteoporosis. Open reduction and volar plating has the biomechanical advantage of load bearing and buttressing function. Proposed advantages of pronator quadratus repair during volar plating of distal radius are the restoration of pronation strength, protection of flexor tendons from attrition or rupture and stabilization of the distal radio-ulnar joint whereas a tight repair may lead to the risk of ischemic contracture resulting into limited wrist pronation and supination. We aim to study the effects of pronator quadratus repair during volar plate fixation of distal radius fracture. Methods: Traumatic extra-articular isolated closed, Gustilo grade I and II fracture of distal end radius with/without fracture ulna of adults presenting within 1 week were subjected to either repair or no repair group of pronator quadratus during volar plating of distal radius. They were operated by the same standard approach, subjected to same physiotherapy protocol and followed up regularly for at least one year post-operatively for outcome assessment. Result: The cohort of patients in non-repair group (n = 19, mean age: 27.68 ± 8.38 years) and repair group (n = 13, mean age: 32.00 ± 15.58 years) have similar demographic and fracture characteristics. At 1 year, they had no significant difference in overall pain by visual analogue score (p = 0.989), functional outcome by disabilities of arm, shoulder and hand score (p = 0.178) and wrist range of motion (p > 0.05). Conclusion: We conclude that there is no added advantage of pronator quadratus muscle repair during volar plating of distal radius. The functional outcome, overall pain and range of motion of wrist were not significantly different between them.

Role of bridging plate in Communited distal end radius fracture: a prospective study

Background: Fracture of distal end radius is very common cause of emergency visit. Management of communited distal end radius always present as a challenge to the treating surgeon. In study it was proposed dorsal distracting plating as a method to treat this kind of fracture. Method: The present study is of prospective variety on 10 consecutive patient of communited distal end radius fracture. Post fixation, it was studied the range of motion (ROM), time taken in healing, any associated complication and Gartland and Warley score. Result: It was observed clinically, average range of motion after dorsal bridge plating was wrist palmer flexion 56.4 ̊, wrist extension 70.3̊, pronation 76 ̊, and supination 75 ̊. There was neither any infection nor any complication was noted. Conclusion: Dorsal distraction plating an effective technique in this kind of fracture but at a cost of another surgery i.e. implant removal.

Evaluate clinical outcome of open reduction and internal fixation with volar locking plates for displaced unstable distal end radius fractures

Background: Fracture of distal radius usually occur as a result of high energy trauma in younger individual with good bone density and also reported in elderly osteoporotic bone. The management is done by cast immobilization to various operative modalities percutaneous K- wire fixation to provide good to excellent results. This study was done to determine the clinical outcome of displaced unstable distal end radius fracture treated with volar locking plates. Objectives: 1. To study the demographic factors of patients with displaced unstable distal end radius fracture. 2. To determine the clinical outcome of patients who treated with volar locking plates. Materials and Methods: This is a prospective observational study done on 33 patients with distal end of radius fracture. The detailed history of the patient was taken and radiographs were assessed. The data was quantified by Modified Gartland and Werley score in which outcome was evaluated. Patient was discharged on 12th postoperative day and followed up after 1st, 2nd, 3rd, 6thmonth and then yearly. Results: In the present study, 63.63% cases from were from the age group 20-34 years, we had 29 cases (87.88%) males. Most common mode of injury was road traffic accident, in 18 cases (54.55%). In the present study, as per Frykman type VIII type of fracture was the commonest with 21 cases (63.64%). Ulnar was 25 degrees and radial were 15.60. An equal grip strength of the affected as the normal was noted in 27 cases (81.82%). At the final analysis of the outcome of our study excellent results were noted in 15 cases 45.45%. Conclusions: Fracture of distal end of radius is one of the commonest fractures. This fracture is more common in males (87.8%) with predominance on right side. Road traffic accident is still the common mode of injury than fall. On follow up excellent functional outcome found in 45.45.% cases with 81.82% patients achieved good grip strength.

A prospective study of management of distal end of radius fracture in children

<p class="abstract"><strong>Background:</strong> Distal end radius (DER) fractures represents one of the common fractures in the paediatric age group. Most of this injury are managed by closed reduction and casting. We investigated the degree to which the clinical and radiographic follow-ups reveal complications that lead to a change in management of the un-manipulated distal radius fractures in children less than 14 years of age. We determined the frequency and type of complications registered during treatment, and assessed the stability of the different fracture types.</p><p class="abstract"><strong>Methods:</strong> Study includes examination of 30 patients with closed DER fractures who were admitted in tertiary care centre between August 2016 to April 2018.<strong></strong></p><p class="abstract"><strong>Results:</strong> Closed reduction and casting was modality of treatment in 40%, casting was done in 33.3% and closed reduction and k wire were done in 26.7%. In patients with closed reduction and k wire slab was given. Gartland and Werley’s scoring system was used and found that 60% patients have 0 score, 30% have 1 score, 6.7% have 2 score and 3.3% have 3 score. 29 patients had excellent result and 1 patient had fair result.</p><p class="abstract"><strong>Conclusions:</strong> In this study of management of DER fracture in children with different modality of treatment, we noted that if it is an undisplaced fracture, can be managed with casting. If it is displaced fracture and reduction is achieved then closed reduction and casting can be done. If displacement is more than 50% of bone diameter then closed reduction and k wire can be done.</p>

An assessment of distraction plating in the management of intra-articular comminuted distal end radius fractures in the elderly patients

Background: Distal radius fractures are one of the most common injuries representing one sixth of all fractures seen and treated in emergency department. Distal radial fractures with extensive comminution involving the metaphyseal-diaphyseal junction present a major treatment dilemma specially when it has an intra-articular involvement. This study evaluates the surgical and functional outcomes of Intra-Articular comminuted fracture of Distal End Radius treated with dorsal distraction plating. Materials and Methods: A prospective randomized controlled observational study was done with a sample size of 50 patients over a period of 3 years each of them diagnosed to be with Intra-articular Fracture of Distal End Radius (AO Classification Type C).All patients were treated by distraction plating (Radio-Metacarpal). Minimum follow up after treatment up to 6 months was ensured and final assessment of functional outcome was then decided. Results: The study showed that average union time was 8.65±0.93 weeks and average implant removal was done at 8.75±0.85 weeks. All patients achieved full ROM at wrist maintaining articular congruity post implant removal. In our study we found two (6.67%) patients with superficial infection; and two (6.67%) patients with Complex Regional Pain Syndrome (CRPS). No patients were reported with tendon (Extensor pollicis longus) irritation, neuropraxia, stiffnes of wrist and interphalangeal joints, non-union/malunion and implant failure.Conclusion:The final results were evaluated and compared after making observations for age, sex, mode of trauma, dominancy of affected hand, time interval between injury and admission, duration of hospital stay, duration of surgery, time to fracture union and complications. The final outcome was measured by DASH SCORE. All patients had excellent or good results treated with distraction plating; six (20.00%) patients out of 30 studies found to have excellent result whereas remaining Twenty four (80.00%) patients had good result.

Comparison of outcome of fracture distal end radius treated by external fixator versus volar plating

Introduction: Distal Radius Fractures occur with a high frequency and continue to be most common skeletal injuries treated by orthopedic surgeon and these injuries accounting for approximately one sixth of all fractures seen in emergency. As fractures occur through cancellous bone union is not a problem. All the treatment is aimed towards anatomical reduction to prevent malunion and achieve good functional results. This study was aimed to compare the relative efficacy of external fixation versus plating with regard to functional and radiological outcome. Material and method: A prospective comparative study was conducted, studying 50 cases of unstable distal end radius fractures who were fitting in the inclusion criteria. It followed AO classification to classify cases and then compare the various outcomes to get the better modality of treatment with an average follow-up of 11 months. The two groups were compared for clinical and functional outcomes measured by MAYO score. Radiographic measurements were also evaluated between groups. Results: Final ranges of motion and grip strengths were better in ORIF group as compared to External Fixation. The mean MAYO score of the locked volar plate group was 85 compared to 78 for the external fixation group. Radiographically, volar tilt and radial length were significantly better in the patients treated with ORIF. No complications occurred in the locked volar plate group whereas three patients had pin tract infections and two had prolonged finger stiffness in the external fixation group. Conclusion: We concluded that fracture fixation with volar plate and screw system in the management of distal radius articular fractures, is a superior method to maintain the reduction till union and prevent the collapse of the fracture fragments, even in grossly comminuted, unstable and osteoporotic bones; as compared with external fixator. Whereas grip strength, range of motion, MAYO scores, frequency of rehabilitation, and some radiographic parameters were superior in patients treated with ORIF.

Outcome of ligamentotaxis of fracture distal end radius by distractor apparatus

Materials & methods: Twenty five Cases of age group 20-50 years and of either sex with intra/juxta-articular fractures of distal radius were taken for the present study. As soon as the patient is fit for surgery, the patient was operated under appropriate anaesthesia, taking all aseptic precautions with proper cleaning and draping. Post-operatively patient was advised active movement of the adjacent joints as early as possible. Follow-up was done and all the patients were analysed. Gartland and Werley is a mixed subjective and objective assessment.

A Prospective Study on Treatment of Distal Radial Fractures Using Volar Locking Plate

Introduction: Distal radius fractures are one of the most common injuries which come to the orthopaedic surgeons. Displaced extra-or intra-articular fractures require anatomical reduction for a good outcome. Historically, these fractures were treated with manipulation and casting, with or without Kirschner (K) wire fixation. Modern plating techniques have been advocated to restore anatomical alignment and allow early mobilisation. Despite the wide variety of treatment options available there is still debate about the best way to treat these fractures. The aim of this study was to evaluate fifty cases of fracture distal end radius treated by open reduction and internal fixation using locking compression plating (LCP). Methods: The present study was carried out on 50 cases of acute fracture distal radius admitted at a tertiary care hospital treated by open reduction and internal fixation using locking compression plating (LCP) between January 2018 and December 2018. Functional results were rated at the end of the study as excellent, good or poor as criteria laid down by Gartland and Werley’s combined subjective and objective criteria. Results: 50 cases of fracture distal radius were selected for study that fulfill the inclusion criteria, were operated and studied. 10 fractures were fixed using Extra-articular Locking Compression T-Plates, 40 fractures were fixed using Juxtaarticular Locking Compression T-Plates. According to the Gartland and Werley’s rating scale, 20 had excellent results, 23 good results, and 07 fair results during latest follow up. Conclusion: Notwithstanding a very small sample size and a short follow up, Volar locking plate osteosynthesis at the distal radius signifies a significant improvement in the treatment of distal radial fractures in terms of restoration of the shape and function of the wrist.

Clinical outcome and evaluation of patients with distal end radius fractures operated with volar plate and pronator quadratus repair versus no repair

Introduction: Dista l radi us fracture is the commonest fracture of upper extremity that we found during emergency or during orthopaedic practice, Now a days volar plating is more commonly perfomed surgery for the same. During this type of surgical exposure pronator quadrtus muscle is vital structure to come across and for this separation of muscle from radius must be done but after plate placement there is controversy regarding the repair of muscle is there. Repair of pronator quadratus muscle after plate fixation will protect volar flexo r tendon by covering the implant and also helpfull in pronation. Conversely if tight closure done its lead to ischemic contracture and its lead to limited wrist supination and pronation. Materials and Methods: This study was conducted on 30 patients having distal radius fractures operated with volar plating done by trained orthopaedic surgeon at our hospital in B. J. medical college, Civil hospital Ahmedabad between january 2017 and January 2019. The mean follow- up time was approximately 24 months. A standard volar approach was used and PQ muscle was separted from radius side and repaired after fracture fixation and were followed up post operatively. Result: Repair of pronator quadratus after volar radius plate fixation is depends on surgeon choice, here we have compaired our result with erlier study to evaluate the benefits, outcome and prognosis of patients post-operatively. Conclusion: After pronator quadratus repair pain reduced in early postoperative period but pronation strength in early post- operative rehabilitation period could not be confirmed, And both the patients give satisfactory and almost similar results with full range of movements and early mobilization. We recommended to repair PQ muscle to protect flexor tendons. Keywords: Distal radius fracture, Volar plate, Pronator quadratus, Radius, Ellis plating, Volar barton’s fracture, Buttress plate.

Bone mineral density measurement in traumatic distal end radius fractures: A case–control study

INTRODUCTION: Osteoporosis is a global problem affecting over 200 million people worldwide. After a first osteoporotic fracture, there is an increased risk of a second fracture. Around 20% of patients experience a second fracture within 1 year of the first fracture. Early diagnosis of osteoporosis and its treatment after a fragility fracture are, therefore, very important interventions that can help in reducing the socioeconomic burden of osteoporosis. In this article, we present a case–control study of bone mineral density (BMD) in 100 cases of distal end radius fractures and matched controls. MATERIALS AND METHODS: One hundred patients with distal end radius fracture and 100 age- and sex-matched controls were selected based on predetermined selection criteria. All selected individuals were investigated for serum calcium, Vitamin D, and alkaline phosphatase. BMD was measured at calcaneum and distal radius. Data analysis was done to determine the strength of association between various parameters and BMD in cases and controls. RESULTS: The prevalence of osteoporosis was higher in age >45 years (35%) as compared to age CONCLUSION: There is a significant association between increasing age, female sex, Vitamin D deficiency, high alkaline phosphatase, presence of DER fracture, and osteoporosis.

Study the functional outcome of Barton’s fracture treated with open reduction and internal fixation by volar plating: A prospective study

Aims: To study the functional outcome and duration of union of surgical management of Barton’s fracture of distal radius with volar locking compression plate fixation.Settings and Design: Prospective studyMethods and Material: 56 cases presenting with Barton’s fracture which satisfies inclusion and exclusion criteria admitted in Shri B.M. Patil college, hospital and research centre vijayapura from 2017-2020 who are treated with volar locking plate.Results: In our study 56 cases, there were 29 males, 27 females with mean age of 39.52 years. 85.7% were admitted due to fall on outstretched hand, left side was more common according to 57.1% cases, associated ulnar fractures were found in 76.8% cases. 89.3% cases didn’t have any co-morbidity. 89.3% of the patient had no complication following surgery. Most common complication was wrist stiffness in 7.1% cases followed by surgical site infection 1.8% and complex regional pain syndrome in 1.8% cases according to Disability of Arm, Shoulder and Hand (DASH) score.Conclusions: Initial reduction and stable fixation is the key in prevention of late collapse of distal radius fractures. Stabilizing the fracture fragments with volar locking compression plate and screws in the management of fractures of distal radius is an effective method to maintain reduction and prevent collapse of the fracture fragments. The technique emphasizes that open reduction and internal fixation with volar plating has excellent functional and satisfactory radiological outcome with minimal complications. Hence volar approach and locking compression plate should be the preferred implant for treatment of intra- articular unstable, comminuted fractures of distal end radius.