<p><strong>Background:</strong> The current study is conducted to assess and compare the radiological and functional outcomes between variable and fixed angle volar plating in unstable intra-articular distal radius fractures.</p><p><strong>Methods:</strong> A prospective study was conducted from May 2018 to May 2020. A total of 156 patients were randomised into two groups A and B of 78 patients each. The plates were T or oblique fixed angle volar plate in group A and variable angle volar plate in group B. Patients were followed up for minimum 12 months. The functional outcome was measured by patient rated hand wrist evaluation score (PRHWE) and radiological outcome by radial height, volar tilt and radial inclination. The secondary objective was to correlate complications.</p><p><strong>Results:</strong> In our study average PRHWE score was better in group B (p<0.05). Radial height, volar tilt, radial inclination was much closer to anatomical wrist radiology was seen in group B. The most common complication was finger and wrist stiffness in group A.</p><p><strong>Conclusions:</strong> Patients treated with variable angle volar plate showed better results in functional and radiological outcomes at 12 months follow-up but limitations include short duration of follow up.</p>
Background:The current study is conducted to find the radiographic axial alignments of the lower extremity in north-west Indian adult population. Methods: A observational study was conducted from May 2018 to May 2020. A total of 137 patients aged between 18-30years coming to hand clinic were randomly selected and full-length weight bearing anterior posterior and lateral view x-rays of left leg was performed and angles were measured using bone ninja application for following axial angles. Femoral neck shaft angle (frontal/sagittal plane), medial proximal femoral angle, anatomical/mechanical lateral distal femoral angle, medial proximal tibial angle, lateral distal tibial angle, posterior proximal/distal femoral angle, anterior distal femoral angle, joint line congruence angle (knee joint), mechanical/anatomical tibio femoral angle. Results: In our study medial inclination of the tibial plateau in Indian adult population is 5.4+/-2.4 degree was greater than the commonly reported 3 degree. The tibio femoral valgus angle was 5.4degree with a range of 4-8 degree. Conclusion: Adult Indian population have more varus alignment of knee and significant higher medial inclination of tibial plateau than the counterpart western population. A 5 degree of external rotation of femoral component instead of commonly used 3degree is necessary while performing total knee arthroplasty in Indian population.
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