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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Volar Locking Plate Versus Dorsal Locking Plate Fixation for Distal Radial Fractures: A Hospital Based Comparative Prospective Study

Puneet Kumar Acharya, Jyoti Krishna, Shekhar Mishra, Kartikeya Singh, A.V.N. Sai Harsha and Vishwakarma C. Hodigere
Page: 22-27 | Received 25 Nov 2023, Published online: 08 Jan 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.5.22.27

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Abstract

The use of low‐pro le dorsal and volar locking plates for distal radial fracture surgery has improved results and lowered the complication rate compared with older plate designs. The purpose of the present hospital based comparative study was to compare patient‐reported outcomes as well as radiographic and functional results between patients who underwent stabilization with a volar locking plate or a dorsal locking plate for the treatment of dorsally displaced unstable extra‐articular distal radial fractures. Present study is hospital based comparative prospective study done in Department of Orthopaedics IMCHRC Indore M.P. duration of study was January 2019 to June 2021 and study subjects can be all patients with distal end radius fracture with dorsal fragment presenting to Orthopaedic OPD. sample size of study 60 Cases and done through convenient sampling method Based on Inclusion and Exclusion criteria, total of 60 patients were selected having fracture distal end radius with dorsal fragment presenting to Orthopedic OPD were enrolled in the study written and informed consent was taken from the patient. In our study majority of patients were of 20‐30 age group 38 males (63.3%) and 22 females (36.7%) were operated. 21 males (70%) and 9 females (30%) underwent dorsal locking plate while 17 males (57%) and 13 females (43%) underwent volar locking plate. 43.3% patients had history of fall and 56.7% patients had history of road traffic accidents. majority of the patients had 2R3C2 (n = 33) AO classification. comparing range of motion (in terms of Palmar flexion, Dorsi flexion, Supination, Pronation, Ulnar deviation and Radial deviation) no significant difference were observed at 36 weeks of follow‐up. The study suggests that both dorsal and volar locking plates are effective treatments for intra‐articular distal end radius fractures with dorsal fragments. Radial length, palmar tilt and articular step‐off were similar. Dorsal plating shows displaced fragments and prevents collapse. Dorsal plates are excellent for distal end radius fractures with dorsal displacement. At 36 weeks, both groups had equal Palmar flexion, Dorsi flexion, Radial deviation, Ulnar deviation, Supination and pronation ranges.

How to cite this article:

Puneet Kumar Acharya, Jyoti Krishna, Shekhar Mishra, Kartikeya Singh, A.V.N. Sai Harsha and Vishwakarma C. Hodigere. Volar Locking Plate Versus Dorsal Locking Plate Fixation for Distal Radial Fractures: A Hospital Based Comparative Prospective Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.22.27
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.22.27