Original Articles
A Prospective Study In Functional Outcome Of Surgical Management Of Volar Barton Fracture (AO Type B3) With Volar Locking Compression Plate | |
Akash Chandrashekar Gundalli, Prathibha H, Sunil Kumar Mooknoor | |
Background: Distal radius fracture is one of the frequent problem encountered of the shoulder in the daily practice of orthopedic surgeons. These injuries account for one sixth of all fractures seen and treated in emergency rooms2. Conservative treatment is usually unsuccessful and it is fraught with complications, such as early osteoarthrosis, deformity, subluxation, and instability. Objective: To Study in functional outcome of surgical management of volar Barton Fracture (AO Type B3) with volar Locking Compression Plate. Methods: This is a prospective observational study conducted in St Martha’s Hospital, Bangalore, during the period extending from December 1st 2018 to November 30th 2019. 20 Patients were treated with open reduction and internal fixation with locking compression plate. We used 3 types of LCP including Conventional LCP, Multi-locking LCP and Variable angled multi-locking LCP through a modified Henry’s approach and reviewed post operatively, one month and three months, clinically and with x-rays. Result: The study comprised of 15 male and 5 female patients aged from 18 to 72 years with the mean age of 42.2 years. The average duration from the date of injury to date of surgery was 3.5 days. The follow up ranged for 3 months. Using the Modified Cooney, Green and O’Brien functional score for wrist we had 50% excellent, 30% good, 15% fair and 5% poor results. Conclusion: Fixation of Volar Barton fracture with a locking compression plate has satisfactory outcome for both the patients and surgeon. Locking plates give satisfactory results in the treatment of this type of fracture with better and faster recovery of functions and range of movements. |
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