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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Prospective Study of Different Types of Fixation of Intra Articular Fracture of Distal Radius in Adults

D. Thirumalai Pandiyan, D. K. Thangadurai, M. Suganya and S. Kumaravel
Page: 348-357 | Received 16 Jun 2023, Published online: 03 Jul 2023

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Abstract

Distal radius fracture continues to be most common skeletal injuries treated by orthopaedic surgeon. It comprises 1/6th of all fractures seen and treated in an emergency room. Comminuted fractures of distal radius have bimodal type of age distribution. Aim of the Study: To evaluate the functional recovery and radiological outcome of Closed intra articular fracture of distal radius in adults treated by various fixation devices like Volar plate, External fixation augmented with or without K‐wire and K‐wire with plaster immobilization. It is a prospective study conducted in Thanjavur Medical college and Hospital from July 2017 to September 2019. Skeletally mature adult patients with acute closed intra articular fracture of distal radius were chosen treated with various common fixation and the outcome analysis done. During the follow up, patients were evaluated for pain, working ability, grip strength and complications. 48 patients were enrolled in our study. The mean duration between injury and procedure was 4.8 days. About 19 patients were treated with volar plating and 14 patients with external fixation and 15 patients with K wire fixation. About 14.6% of our cases developed surgical and its related complications. When the outcome of different fixation methods were assessed, there were no major differences in the functional outcome in terms of pain, range of movements, grip strength and return to work. Among the treatment by all the three methods, volar locking plate is far better than external fixator and K‐wire fixation.


How to cite this article:

D. Thirumalai Pandiyan, D. K. Thangadurai, M. Suganya and S. Kumaravel. A Prospective Study of Different Types of Fixation of Intra Articular Fracture of Distal Radius in Adults.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.348.357
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.348.357