Outcome of Volar Barton Fractures Treated with Locking Compression Plates: A Cross-Sectional Study

Abstract

Volar Barton fracture is the fracture of distal radius bone associated with ventral displacement. It is an oblique intra-articular fracture. Objective: To investigate the results, both functional and radiological, of open reduction and internal fixation with locking compression plates of the volar Barton fracture. Methods: A total of fifteen patients were included in this study. All of the participants had volar fragment type B3 fractures of the wrist. All the patients underwent open reduction to treat the fracture. Internal fixation was done using a locking compression plate (LCP). Out of a total of 15 patients, 10 were male and 5 females. The most common cause, almost 67 %, of the fracture was a road traffic accident (RTA). The mean age of the patients was 33 years, ranging from 21 to 55 years. All the patients had their respective surgeries within 7 days of the fracture accident. Quick Dash score-, and Gartland and Werley score were used to assess the function of the hand and wrist. Results: All the fractures took the meantime of 8 weeks for the bone union. The mean Quick Dash score was 10, ranging from 0 to 60. According to Gartland and Werley’s score, 9 patients were excellent, 4 patients were good and 2 were fair. No postoperative complication occurred. Conclusions: Open reduction and internal fixation with locking compression plates of the volar Barton fracture is an effective treatment for functional and radiological restoration.

Physiotherapeutic Approach for Volar Barton Fracture Left Side Without Neurological Deficits: A Case Report

“…In the beginning, closed reduction was implemented for treating volar Barton fractures, but at present, the approach has shifted to open reduction internal fixation (ORIF) in conjunction with the earliest possible mobilization to treat these periarticular fractures [ 8 ]. The most important objectives in therapy for a Volar Barton fracture include fracture stability, regaining the range of motion (ROM), and avoiding the possibility of sequelae [ 9 ].…”