Journal of Orthopaedics Trauma Surgery and Related Research

Journal of Orthopaedics Trauma Surgery and Related Research

An Official Journal of Polish Society of Orthopaedics and Traumatology

ISSN:1897-2276
e-ISSN: 2449-9145

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Satish Kumar*, Akshat Mittal and Gaggan Chadha
 
Department Of Orthopaedics, Sir Ganga Ram Hospital, New Delhi, India
 
*Correspondence: Satish Kumar, D’Ortho, DNB Ortho, Associate Consultant, Department of Orthopaedics, Sir Ganga Ram Hospital, New Delhi, India, Email: [email protected]

Received Date: Sep 03, 2018 / Accepted Date: Feb 15, 2019 / Published Date: Feb 22, 2019

This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (http://creativecommons.org/licenses/by-nc/4.0/), which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes. For commercial reuse, contact [email protected]

Abstract

Background: The purpose of this prospective study was to evaluate the results of volar plating for distal radius fractures using a single direct lateral approach.

Methods: Twenty-three patients with distal radius fractures (AO type C2 and C3) were recruited into the study between Jan 2014 and Dec 2016 at our tertiary care hospital in Delhi. There were 19 males and 4 females with a mean age of 40.6 years. Open reduction and volar internal fixation with a locking T plate through a direct lateral approach were done. They were followed up at six weeks, three months and six months. Assessments of pain, motion, grip strength and standard radiographs were performed. The Modified Mayo Wrist Score (MMWS) were recorded.

Results: The radiographic results at the final follow-up showed a mean of 18.15° of radial inclination, 17.25° of volar tilt, 9.7 mm of ulnar variance. An excellent or good result was obtained in 87% of patients according to MMWS. Two patients developed numbness over superficial radial nerve distribution area post-surgery but recovered 6 weeks post-surgery with no residual numbness at final follow up. All patients had a bony union. No patients had the median nerve, radial artery and tendon injury with the direct lateral incision.

Conclusion: Internal fixation of distal radial fractures with a volar locking plate system through a direct lateral incision is a safe and stable fixation with good clinical outcomes can be achieved.

Level of Evidence: Level 3



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Annals of Medical and Health Sciences Research Journal of Orthopaedics Trauma Surgery and Related Research a publication of Polish Society, is a peer-reviewed online journal with quaterly print on demand compilation of issues published.
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