“Intra-articular Fracture of Distal End of Radius Treated by Open Reduction and Internal Fixation with Buttress Plate:” A Clinical Study

Volume 6 | Issue 1 | Jan-April 2018 | Page 18-22 | Pavankumar H Patil,Chidanand Metri, Umesha C , V V Mundevadi

Authors: Pavankumar H Patil [1],Chidanand Metri [2], Umesha C [3] , V V Mundevadi [4]

[1]Vydehi Institute of medical science & research institute, Bangalore
[2] Metri hospital, Athani, Belgaum, Karnataka
[3] Mandya Institute of Medical Sciences,Mandya, Karnataka
[4]Al ameen medical college , Bijapur, Karnataka

Address of Correspondence

Dr. Umesha C
Chowdeshwari nilaya, G madegouda layout, K M Doddi post,
Maddur Thalluk, Mandya district. PIN- 571422
Email Id : umeshmmc@gmail.com

Abstract

Background: Fracture of the distal radius is one of the most common skeletal injuries treated by orthopedic surgeons restoration of radial length, radial tilt angle and congruity of the articular surface is important for good functional result. Devices like buttress plates allow improved fracture fixation without leading to soft tissue and vascular complications. They have been shown to provide excellent stability for an unstable fracture with either dorsal or volar metaphyseal comminution. The objective of the study was to evaluate the functional outcome of intra-articular fracture of distal end of radius treated by open reduction and internal fixation by buttress plate using Criteria of Gartland and Werley Point System.
Materials and Methods: Twenty patients with intra-articular fracture of the distal end radius were treated by open reduction and internal fixation using buttress plate.
Results: The study included 20 patients, 11 male and 9 females aged from 21 to 69 years with a mean of 40.2 years. The average duration of follow-up was 7 months ranged from 6 to 10 months. Using the demerit scoring system of Gartland and Werley, we had 20% excellent results, 45% good results, 20% fair results, and 15% poor result. As per our results, excellent to good results were found in 65% of patients.
Conclusion: Open reduction and internal fixation by buttress plate provide a better functional outcome in treating the intra-articular fracture of distal end radius. Excellent to good results are produced using buttress plate for fixation of intra-articular fractures of distal end radius.
Keywords: Distal end radius, intra-articular fracture, open reduction internal fixation, buttress plate.

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