Role of locking compression plates in the treatment of fractures distal end of radius
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 2
Abstract
Background Distal Radius fractures are the most common fractures of the human skeleton.The distal radius fracture is almost always within an inch of the wrist joint and fracture lines may extend into the wrist joint. Dorsal angulation in distal radial fractures is common and there is tendency towards secondary displacement after conservative management.Hence, open reduction of the articular surface,stable reduction, restoration of the radial length, volar angulation and radial inclination are the prerequisite for good clinical outcome.The volar locking compression plate can provide a safe and effective implant for treatment of dorsally displaced fractures of distal radius.The present study is proposed to evaluate the role of locking compression plate in treatment of fractures of distal end of radius. Material and MethodsTwenty five patients, coming to Sri Guru Ram Das Institute of Medical Sciences and Research (SGRDIMS&R), Sri Amritsar, having fractures of distal end of radius grouped as per A. O Classification were treated by locking compression plates. Results Most of the functional and clinical outcomes showed continued improvement between the three and six months periods. The grip strength showed score of 53% at 3months and 69% at 6 months as compared to contralateral side. Lateral pinch strength improved to 81% of the value for the normal side by three months and 89% till 6 months. The Jebsen-Taylor test was exceptional and showed that the scores on the injured side were close to 87% of those on the uninjured side even at three months and continued to improve. Conclusionlocking compression plate system for the management of distal radius fractures showed significantly good results as shown by various functional outcome scores
Authors and Affiliations
simranjit singh, Rajan Sharma
Keywords
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