Functional and Radiological outcome of volar plates in distal end of radius fractures

Vol 32| Issue 2 | July – Dec 2019 | page: 20-25 | Ajith John K, Sudheer U, C. Jayaprakash


Authors: Ajith John K [1], Sudheer U [1], C. Jayaprakash [1]

[1] Department Of Orthopaedics, Amala Institute of Medical Sciences, Thrissur, Kerala, India.

Address of Correspondence

Dr. Sudheer U,
Amala Institute of Medical Sciences, Thrissur, Kerala, India.
E-mail: sudheeranortho@gmail.com


Abstract

Background: Distal end of radius fracture incidence is increasing in younger age group due to road traffic accident and no residual deformity is acceptable nowadays. So Hence, we need to assess whether the good radiological outcome which is achieved by open reduction can cause an excellent functional outcome, along with that we need to address its disadvantages.
Methods: A total of 50 patients (males 36 and females 14) were followed for a period of 1 year. Fracture classified using AO classification. They were selected for the operative procedure based on the Lafontaine’s criteria. During the operative procedure, we used locking plate for 20 patients and T plate for 30.Patient The patient was evaluated for the functional outcome- QuickDASH scoring system and radiological outcome– Lindstorm criteria.
Results: Mean age was 41.76 ± 12.2733. Predominant mode of injury was a road traffic accident (32patients) of which 30 were males and fall at home (16 patients) and majority were females (12). Type of fracture involved (according to AO classification) was C1 (26 patients) followed by B3 (11 patients). Mean QuickDASH was 5.752 ± 6.67 which indicates good functional outcome. Lindstorm criteria score (radiological criteria) at 6 months and 1 year was same indicates that there is no collapse at cortico cancellous junction and no implant failure occurred and no screw pullout. Decreased range of motion observed in 5 cases and range has improved at the end of 1 year. Age and Quick DASH Quickdash Correlation Coefficient(r) 0.260 and P value = 0.068 which suggest age and functional outcome inversely proportional. Excellent radiological outcome has a better functional outcome (5.263±6.5197) when compared to good radiological outcome (11.375± 6.6805).
Conclusion: Volar plates are a good modality of treatment in the distal end of radius. It has a good functional and radiological outcome. When correlating functional outcome and radiological outcome excellent radiological outcome has a better functional outcome when compared to good radiological outcome.
Keywords: AP- Anteroposterior, PA- Posteroanterior, DRUJ- Distal radioulnar joint, CRP- Central reference point, TFCC- Triangular fibrocartilagenous complex, DASH- Disabilities of arm, shoulder, and hand, EPL- Extens or pollicis longus, SRN- Superficial branch of the radial nerve.


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How to Cite this Article: Ajith John K, Sudheer U, C. Jayaprakash | Functional and Radiological Outcome of Volar Plates in initial End of Radius Fractures. | Kerala Journal of Orthopaedics | July – Dec 2019; 32(2): 20-25.

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