Functional and radiological outcomes in 2.7-mm volar locking compression plating in distal radius fractures

Austine, Jose; Kotian, Prem; Mirza, Kiyana; Annappa, Rajendra; Sujir, Premjit

doi:10.4103/joasp.joasp_2_20

Cited by 5 publications

(3 citation statements)

References 27 publications

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“…It could be so because of higher grade of soft tissue injury and probably less accurate reduction of the fracture fragments in higher grade of injury. Phadnis et al 13 and Austine et al 15…”

Section: Discussionmentioning

confidence: 98%

Functional and Radiological Outcome of Locking Plate in Displaced Fracture of Distal End Radius

Bidary¹,

Pandey

Gupta

et al. 2022

JCMC

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Background: Distal radius fracture is the most common fracture of upper extremity. There are wide variety of treatment options including plaster, ligamentotaxis, percutaneous pinning and plating for the treatment of displaced distal end radius fracture in the adult. Each option has got its own pros and cons. This study was designed with an objective of assessment of functional and radiological outcome of displaced distal end radius fracture treated with volar locking plate. Methods: This was a retrospective study of closed displaced fracture of distal end radius managed with volar locking plate from January 2018 to September 2020. Data were collected from the case chart and included patient’s demography, fracture characteristics, radiological parameters, range of motion and complications. Data analysis was done using Statistical package for social science 20.0 software. Descriptive statistics for categorical variable was used and mean of the continuous data was compared using student’s t-test. P-value <0.05 was considered as statistically significant. Results: The mean age of patient was 35.87 years after analysis of total of 30 patients with mean follow up of 12.87 months. Road traffic accident (76.7%) was the most common mode of injury. There were 36.7% Association of Osteosynthesis (AO) type B and C injuries, each. The mean Quick Disabilities of Arm, Shoulder and Hand (DASH) score was 1.13 (range 0 - 6.81) at the final follow up. The mean union time of the fracture was 6.6 weeks. One patient had stiffness and one developed reflex sympathetic dystrophy. Conclusions: Functional and radiological outcome of the displaced distal end radius in adult treated with open reduction and internal fixation with locking plate was found good to excellent in most of the cases.

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Section: Discussionmentioning

confidence: 98%

Functional and Radiological Outcome of Locking Plate in Displaced Fracture of Distal End Radius

Bidary¹,

Pandey

Gupta

et al. 2022

JCMC

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“…Distal end radius fractures management demand anatomical reduction and restoration of joint surface with articular congruity to prevent post traumatic arthritis, weak hand grip and gain better functional outcome. [3] The complex interaction between the radius and ulna determines the forearm rotation and the restoration of this movement depends on both an accurate reduction of the fractures and early initiation of postoperative movement. The functions of the upper limb and activities of daily living are affected if this mechanism is not restored.…”

Section: Discussionmentioning

confidence: 99%

Plate on Plate Osteosynthesis in Segmental Radius Fracture: A Case Report

Mahajan

Patil

et al. 2023

SN Compr. Clin. Med.

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Distal end radius fractures and both bone forearm fractures are quite common upper limb trauma emergency cases. Management gets complicated when both injuries occur concomitantly in same upper limb. CASE REPORT :Here we present a rare case of both bone forearm fracture with ipsilateral distal end radius fracture in a 32 years young male after a high velocity trauma. This case of was managed by 2.7mm volar plate and K wire for DER fracture and 3.5mm DCP in both bone forearm fractures with overlapping plates for 2 fractures of radius. 6 months postoperatively there is adequate fracture union and good functional outcome of wrist and forearm. CONCLUSION :The concomitant use of 2.7mm volar LCP for DER fracture and 3.5mm DCP in both bone forearm fractures with overlapping plates for long extended or segmental fractures of radius provides a stable construct with homogeneous stress distribution.

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“…Theoretically, the abnormal value of radial length, radial inclination, volar tilt, and ulnar variance indicate unstable distal radius fracture. (Austine et al 2020) It will cause persistent pain and functional disturbances. However, the specific radiologic parameter to predict the functional wrist outcome remains debatable.…”

Section: Introductionmentioning

confidence: 99%

Correlation Between the Patient-Rated Wrist Evaluation (PRWE) and Radiologic Parameter In Distal Radius Fracture

Silitonga¹,

Nasution²,

Albar³

2022

IJRP

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IntroductionDistal radius fracture is one of the most commonly seen fractures. It accounted for about 3% of total upper extremity fractures. The radiologic parameter of the distal radius is essential to treatment. Hence, it can also be utilized as a successful indicator after treatment. This study aims to evaluate the correlation between wrist radiologic parameters and patient-rated wrist evaluation. MethodsThis cross-sectional study was carried out from Mei 2021 to December 2021. All patients were consecutively included. The radiological parameter was obtained in all patients as follows radial height, radial inclination, ulnar variance, and volar tilt. Patient-rated wrist evaluation (PRWE) was obtained in all patients. The outcome of interest in this study was the correlation between radiographical parameters and Patient-Rated Wrist Evaluation (PRWE). ResultA total 40 patients were included in this study. The mean age of the included patients was 40,88 + 16,45. Ulnar variance was statistically significant correlated with the PRWE with p=0.001, r=0.634. Meanwhile, the other radiologic parameters showed no correlation to the PRWE. ConclusionThis study showed the correlation between ulnar variance and PRWE in distal radius fracture. Addressing contralateral ulnar variance and the other radiologic parameters were recommended to achieve the optimal functional wrist outcome.

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Functional and radiological outcomes in 2.7-mm volar locking compression plating in distal radius fractures

Cited by 5 publications

References 27 publications

Functional and Radiological Outcome of Locking Plate in Displaced Fracture of Distal End Radius

Functional and Radiological Outcome of Locking Plate in Displaced Fracture of Distal End Radius

Plate on Plate Osteosynthesis in Segmental Radius Fracture: A Case Report

Correlation Between the Patient-Rated Wrist Evaluation (PRWE) and Radiologic Parameter In Distal Radius Fracture

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