Distal end radius fracture is a common fracture seen in the routine orthopedic OPD. The optimal management of distal radius fractures remains controversial. AIM: To compare functional outcomes following volar plating and K-wire fixation of distal end radius fractures and compare which method produced better result. The functional outcome in terms of the range of movements, pain, and grip strength of the patients was assessed at 6 months in both groups by demerit score system of Gartland and Werley. Result: Functional outcome as per Gartland and Werley was 95% excellent to good results in plating group as compared to 75% in K-wire fixation group.
Conclusion:The study emphasizes that open reduction and internal fixation with volar plating have excellent functional outcome when compared to K-wire fixation in distal radius fractures. When considering the cost, K-wire fixation is preferred over volar plating.
Introduction: Management of distal metaphyseal tibial fractures is a formidable challenge to the orthopaedic surgeon. Some of the confounding factors in management are delicate soft tissue in this area, presence of ankle joint in close proximity, small distal fragment size, ligament injuries, occasional fibular fractures and compaction of cancellous bone among others. The conventional implants are unsuitable for managing such fractures successfully. Material and method: The 3.5mm anatomical anterolateral locking compression plates are precontoured plates that have been designed and developed especially for fixation of distal tibial metaphyseal fractures to overcome some of these problems. 34 patients underwent management using this implant. The study was done prospectively. Aim: The aim of the study was to evaluate the management of such fractures with this implant and to assess the functional outcome of the same. Results: 83% of patients in our study had excellent to good functional outcome. Conclusions: We concluded that that the anatomical anterolateral plate is an excellent option for managing such fractures and gives consistent and reproducible clinical results.
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