Volar locking plate fixation (Ellis plate) of intra-articular distal radius fractures: Prospective randomized study
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 1
Abstract
Background: Intra-articular fractures of the distal radius represent a therapeutic challenge as compared with the unstable extra-articular fractures. With the recent development of specifically designed volar plate for the distal radius, treatment of these fractures by fragment-specific implants using two or more incisions has been advocated. Purpose: The purpose of this study was to investigate the efficacy of a fixed-angle locking plate applied through a single volar approach in maintaining the radiographic alignment of unstable intra-articular fractures as well as to report the clinical outcomes. We only excluded those with compound fracture of distal radius grade III and above. Patients and Methods: This prospective randomized study comprised 60 patients with displaced intra-articular (Frykman type IV-VIII) distal end radius fractures treated with volar locking plates. The patients were followed up at 2nd week, 6th week, 12 week, 6 months and 1 year after surgery. The assessment of pain, range of motion, grip strength and activity were assessed at each follow-up visit and scored according to the Green and O’Brien scoring system. Results: At the end of 1 years, In volar plate group out of 60 patients, excellent result was achieved in 08 patients (13%), good in 48 patients (80%), fair in 04 patients (7%). No poor outcome seen. Conclusions: Irrespective of the direction and amount of initial displacement, a great majority of intra articular fractures of the distal radius can be managed with a fixed angle volar plate through a single volar approach.
Authors and Affiliations
Dr. Sandeep Bhinde, Dr. RS Bajoria, Dr. Ashish Koushal, Dr. Manish Bairagi
Keywords
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- EP ID EP485428
- DOI 10.22271/ortho.2018.v4.i1k.106
- Views 115
- Downloads 0
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