Evaluation of Various Modalities of Surgical Treatment of Distal End Radius Fractures in a Tertiary Hospital in Bangalore
Yogesh, Anil Chowdary*, Ambreesh, Arvind JD, Yashwant and Sneha
Department of Orthopaedics, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, India
*Corresponding Author:Anil Chowdary, PG Scholar, Department of Orthopaedics, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, India.
January 31, 2022; Published: February 25, 2022
The fracture of the distal radius is the most common fracture encountered in daily practice. Besides, these fractures are also reported in elderly osteoporotic patients. If these fractures are not assessed properly and not treated on time, angulation, shortening and articular incongruity may lead to permanent deformity and loss of function. The degree of disability is highly correlates with degree of residual deformity in elderly patients. There is no consensus with regards to the optimal management of these fractures and lack of scientific evidence to allow definitive conclusions concerning the main aspects of managing distal radius fractures. In this context of the research gap, the present study was undertaken to compare the functional outcome of treatment fracture distal end radius with various surgical modalities i.e. closed reduction and percutaneous K-wire fixation under C-arm guidance with post op cast immobilization, Ligament taxis and stabilization with external fixator, Open reduction and internal fixation with Dynamic Compression Plates, Locking Compression Plates and Buttress Locking Compression Plate. The Mean age of patients was 37.21 years. 48 (82.75%) males and 6 (10.34%) females were considered for the study. Left side was involved in 28 cases (48.27%), right in 22 cases (37.93%), 4 (6.89%) patients had both wrist fractures. Using AO classification, study shows better outcome with plating or k wiring for A2 type of fractures, K wiring or Ex Fix for type A3, Plating for B1, B2, B3, C1 type, External fixation for C2 type, Plating or Ex fix+ k wiring + Plating is preferred for C3 type. The functional outcome after fixation of distal radius fractures depends on patient's age, fracture anatomy, displacement, reducibility, stability and articular incongruity of fractures. They are related more to the quality of anatomical reduction than to the method of immobilization. Volar locking plates are safe and effective option for unstable fracture types.
Keywords: Distal Radius; Comminuted; Intra Articular; Open Reduction; Internal Fixation; External Fixation
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