Background: The fracture of lower end radius is the most common fracture of the upper extremity encountered in practice and constitutes 10 to 20% of all the fractures and 75% of all forearm fractures. In spite of various new advances, closed reduction and cast immobilization has been the mainstay of treatment of these fractures, but malunion of fracture and subluxation /dislocation of distal radioulnar joint resulting in poor functional and cosmetic results is the usual outcome. Recently, the volar locked plate osteosynthesis is considered as the "gold standard" in treatment of 'unstable' distal radius fractures. The present study proposed to evaluate the role of volar locking plate fixation in the management of intra-articular and extra-articular volar fractures of distal end radius and to evaluate the clinical, functional and radiological outcomes. Aim and Objectives: To study the improvement in clinical, functional and radiological outcomes of volar locked plate fixation in a distal end radius fracture. Materials and Methods: A prospective study was undertaken in a Tertiary Hospital from September 2016 to September 2018, 30 patients (age >20 yrs) with volar fracture of lower end of radius i.e. AO types A 2.3, B 3.1, B 3.2, B 3.3 operated with volar locked plating. The patients were followed up at 2 nd , 6 th , 12 th and 24 th postoperative weeks. Radiological & clinical, functional outcomes were assessed by using Stewart score & PRWE (Patient-rated wrist evaluation questionnaire) score respectively. Data collected of these 30 patients were statistically analysed using ANOVA chisquare test. Results: Clinical and Functional outcome by Patient Rated Wrist Evaluation scoring system shows maximum no. of patients come in Good and Excellent grading i.e. 17(56.7%) and 8(26.7%) out of 30 patients, along with this 1(3.3%) Fair and 4(13.3%) Poor result. Radiological outcome by Stewart I scoring system is Maximum no. of cases shows Good and Excellent results i.e. 20(66.7%) and 6(20%) out of 30 patients. With this 1(3.3%) Fair and 3(10%) Poor result. Conclusion:Open reduction and internal fixation with volar locked plating has satisfactory functional and radiological outcome with minimal complications and thus it is an excellent modality to treat volar fractures of distal end radius.
BACKGROUNDMost of the tibial fractures are closed fractures accounting to all most three quarters (76.5%) of all tibial fractures. Surgery is accepted more and more as primary treatment for proximal tibia fractures as studies have shown that operative treatment results in lower rate of fracture non-union, symptomatic malunion than conservative management. Incidence of high energy proximal tibia fracture is increasing and may contribute to these findings because, increased initial fracture displacement, shortening, comminution have been predictive of mal-union and poor patient outcome with non-operative care. Open reduction & locking compression plating thus may be better options for displaced proximal tibia fracture. The objective of the study is to evaluate the role of open reduction and internal fixation and to evaluate clinical and functional outcome of fracture of the proximal tibia treated with locking compression plates in adults with six months follow up. METHODSThe study was carried out during the period of April 2015 to March 2018 in the Department of Orthopaedics, Inlaks and Budhrani Hospital, Pune, (MH). Study includes 30 cases of proximal tibia fracture in the population aged between 18 years to 60 years, irrespective of sex, with fracture proximal tibial plate (amenable to open reduction, internal fixation with LCP with minimum of three screw in proximal and distal fragment). The clinical and radiological outcome was evaluated using Rasmussen's score and plain radiograph. Union was evaluated clinically and radiographically. Complications were recorded. RESULTSHighest number of patients were seen mainly in the age group of 40-50 years (10 patients, 33.33%). Out of 30 patients, 28 were male patients (93.33%). Most patients had fracture union in 18 weeks and 16 weeks with 9 patients in each group (30%). The mean duration for fracture healing was 16.14 weeks. CONCLUSIONSThis study showed clinically and radiologically satisfactory results. Overall operative treatment with locking compression plates can be used to obtain stable fixation and excellent outcome. HOW TO CITE THIS ARTICLE:Panse JB, Jadhav SS, Tiwari RR. A prospective study of clinical and functional outcome of proximal tibia fractures treated with locking compression plates in adults at a tertiary care hospital.
BACKGROUND Fracture of clavicle accounts for approximately 5%-10% of all fractures. In adults, about 70% of clavicle fractures involve middle third part of the clavicle. Clavicle fractures are more common in young age group. Surgery is accepted more and more as primary treatment for dislocated mid shaft clavicle fractures as studies have shown that operative treatment results in lower rate of fracture non-union, symptomatic mal-union than conservative management. Incidence of high energy clavicle fracture is increasing and may contribute to these findings because, increased initial fracture displacement, shortening, comminution have been predictive of non-union and poor patient outcome with non-operative care. Open reduction & locking compression plating thus may be better options for displaced mid clavicle fracture. The objective of the study is to evaluate the role of open reduction and internal fixation and to evaluate clinical and functional outcome of fracture of the clavicle treated with pre-contoured clavicular anatomical locking plates in adults with six month follow up using 'Disabilities of the Arm, Shoulder and Hand Score'. MATERIALS AND METHODS The study was carried out during the period of June 2015 to June 2017 in the Department of Orthopedics, Inlaks and Budhrani Hospital, Pune, (MH). Study includes 30 cases of clavicle fracture in the population aged between 18 years to 60 years, irrespective of sex, with fracture midshaft of clavicle (amenable to open reduction, internal fixation with LCP with minimum of three screw in medial and lateral fragment). The clinical and radiological outcome was evaluated using DASH score and plain radiograph. Union was evaluated clinically and radiographically. Complications were recorded. RESULTS Highest number of patients were seen mainly in the age group of 21-40 years. 19 patients (63.3%) achieved radiological union in 12 weeks. Other 11 patients (36%) achieved union by the end of 18 weeks. 4 patients (13%) had plate prominence. Restriction of shoulder movement was seen in 3 patients (10%). None of the patients had neurovascular compromise. 83.3% of study subjects showed excellent outcome. CONCLUSION This study showed clinically and radiologically satisfactory results. Overall operative treatment with locking compression plates can be used to obtain stable fixation and excellent outcome.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.