COMPLICATIONS OF INTRA-ARTICULAR DISTAL RADIUS FRACTURES TREATED WITH DISTAL VOLAR RADIUS PLATE
Main Article Content
Keywords
Complications, intra-articular distal radius fractures, distal volar radius plate
Abstract
Distal end radius fractures account for approximately 1/6th (16%) of all fractures and treated in emergency rooms. Objective: To enumerate the complications of intra-articular distal radius fractures treated with distal volar radius plate. Methods: The study was conducted among adult population coming to Department of Orthopaedics, Shaheed Hasan Khan Mewati Government Medical College, Nalhar, Nuh, Haryana SHKM, GMC with intra-articular distal end radius fracture. Result: The mean age of the study population was 42.98±8.31 (range = 25-59) years. There were 72.5% males and 27.5% females among study population. Left side was affected among 14 (35.0%) and Right side among 26 (65.0%) subjects. The mode of injury was Fall among 11 (27.5%) and Road traffic accident injury among 29 (72.5%) subjects. Associated injury occurred among 32.5% subjects. The complications reported were Stiffness among 20 (50%), Superficial infections among 2 (5.0%), Malunion and Non-union among 1 (2.5%) subject each.
Conclusion: The technique emphasizes that open reduction and internal fixation with volar plating has excellent functional outcome with minimal complications thus proving that it is the prime modality of treatment for distal radius fractures.
References
2. Orbay JL, Fernandez DL. Volar fixed-angle plate fixation for unstable distal radius fractures in the elderly patient. J Hand Surg Am. 2004;29(1):96–102.
3. Frattini M, Soncini G, Corradi M, Panno B, Tocco S, Pogliacomi F. Complex fractures of the distal radius treated with angular stability plates. Chir Organi Mov. 2009;93:155– 62.
4. Sobky K, Baldini T, Thomas K, Bach J, Williams A, Wolf JM. Biomechanical comparison of different volar fracture fixation plates for distal radius fractures. Hand. 2008;3(2):96–101.
5. Altissimi M, Antenucci R, Fiacca C, Mancini GB. Long-term results of conservative treatment of fractures of the distal radius. Clin Orthop Relat Res. 1986;(206):202e210.
6. Gartland JJ Jr, Werley CW. Evaluation of healed Colles’ fractures. J Bone Joint Surg Am. 1951;33(4):895-907.
7. Porter M, Stockley I. Fractures of the distal radius: intermediate and end results in relation to radiologic parameters. Clin Orthop Relat Res. 1987;(220):241-52.
8. Knirk JL, Jupiter JB. Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg Am. 1986;68(5):647-59.
9. Vishwanath C, Harish K, Gunnaiah K G, Ravoof A. Surgical outcome of distal end radius fractures by ligamentotaxis. J Orthop Allied Sci 2017;5:68-73.
10. Drobetz H, Kutscha-Lissberg E.Osteosynthesis of distal radial fractures with a volar locking screw plate system. Int Orthop. 2003;27(1):1-6.
11. Osada D, Kamei S, Masuzaki K, Takai M, Kameda M, Tamai K. Prospective study of distal radius fractures treated with a volar locking plate system. J Hand Surg Am. 2008;33(5):691-700.
12. Leung F, Zhu L, Ho H, Lu WW, Chow SP. Palmar plate fixation of AO type C2 fracture of distal radius using a locking compression plate—a biomechanical study in a cadaveric model. J Hand Surg Br. 2003;28(3):263e266.
13. Mignemi ME, Byram IR, Wolfe CC, Fan KH, Koehler EA, Block JJ, Jordanov MI, Watson JT, Weikert DR, Lee DH. Radiographic outcomes of volar locked plating for distal radius fractures. J Hand Surg Am. 2013 Jan;38(1):40-8.
14. Chung KC, Watt AJ, Kotsis SV. Treatment of unstable distal radial fractures with the volar locking plating system. J Bone Joint Surg Am. 2006;88:2687-94.
15. Anakwe RE, Khan LAK, Cook RE, McEachan JE. Locked volar plating for complex distal radius fractures: Patient reported outcomes and satisfaction J Orthop Surg Res. 2010; 5: 51
16. Minegishi H, Dohi O, An S, Sato H. Treatment of unstable distal radius fractures with volar locking plate. Ups J Med Sci. 2011;116(4):280-4.
17. Tank G, Gupta AK, Parvez A, Singh G, Jaiswal S, Kumar A. Anatomical and functional evaluation of distal end radius fractures managed by volar plating. Pros study J evol Med dental Sci. 2013;7(2):802.
18. Wilson J, Viner JJ, Johal KS, Woodruff MJ. Volar Locking Plate Fixations for Displaced Distal Radius Fractures: An Evaluation of Complications and Radiographic Outcomes. Hand (N Y). 2018 Jul;13(4):466-472.
19. Huang YM, Chen CY, Lin KC, Tarng YW, Liao CY, Chang WN. Functional outcomes following fixation of a marginal distal radius fracture with two commonly used volar locking plates: a retrospective cohort study. BMC Musculoskelet Disord. 2022 Jan 3;23(1):18.
20. Kilic A, Kabukcuoglu Y, Ozkaya U, Gul M, Sokusu S, Ozdogan U.Volar locking plate fixation of unstable distal radius fractures. Acta Orthop Traumatol Turc. 2009;43(4):303- 8.
21. Chavhan AN, Dudhekar UJ, Badole CM, Wandile KN. Functional and radiological outcome in distal radius fractures treated with locking compression plate. Int J Res Med Sci 2017;5:574-82.
22. Khan SM, Saxena NK, Singhania SK, Gudhe M, Nikose S, Arora M, Singh PK. Volar plating in distal end radius fractures and its clinical and radiological outcome as compared to other methods of treatment. J Orthop Allied Sci 2016;4:40-4.
23. Jorge-Mora AA, Cecilia-López D, Rodríguez-Vega V, et al. Comparison between external fixators and fixed-angle volar-locking plates in the treatment of distal radius fractures. J Hand Microsurg. 2012;4(2):50–4.
24. Zenke Y, Sakai A, Oshige T, Moritani S, Nakamura T. The effect of an associated ulnar styloid fracture on the outcome after fixation of a fracture of the distal radius. J Bone Joint Surg Br. 2009;91(1):102–07.
25. Kim JK, Koh YD, Do NH. Should an ulnar styloid fracture be fixed following volar plate fixation of a distal radial fracture? J Bone Joint Surg Am. 2010;92(1):1–6.
26. Wong TC, Yeung CC, Chiu Y, Yeung SH, Ip FK: Palmer fixation of dorsally displaced distal radius fractures using locking plates with Smartlock locking screws. J Hand Surg. 2009, 34:173-8.
27. Bacorn RW, Kurtzke JF. Colles’ fracture; a study of two thousand cases from the New York State Workmen’s Compensation Board. J Bone Joint Surg Am. 1953;35-A:643– 658.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Sachin
Postgraduate Resident, Department of Orthopaedics, Shaheed Hasan Khan Mewati Govt. Medical College Nalhar, Nuh, Haryana, India
Nakul Khera
Specialist Orthopaedics, Department of Orthopaedics, Shaheed Hasan Khan Mewati Govt. Medical College Nalhar, Nuh, Haryana, India
Vineesh V
Postgraduate Resident, Department of Orthopaedics, Shaheed Hasan Khan Mewati Govt. Medical College Nalhar, Nuh, Haryana, India
Lokeshwaran
Postgraduate Resident, Department of Orthopaedics, Shaheed Hasan Khan Mewati Govt. Medical College Nalhar, Nuh, Haryana, India
Abhishek
Senior Resident, Department of Orthopaedics, Shaheed Hasan Khan Mewati Govt. Medical College Nalhar, Nuh, Haryana, India