Volume 16 | Issue 2 | April-June 2021 | Page 26-29 | Nikhil Bhandari, Madhav Khadilkar, Rahul Agrawal, Shantanu Deshpande, Amit Mahajan, Akash Mane
Authers: Nikhil Bhandari [1], Madhav Khadilkar [1], Rahul Agrawal [1], Shantanu Deshpande [1], Amit Mahajan [1], Akash Mane [1].
[1] Department of orthopaedics, Bharati Vidyapeeth (DTU) Medical College, and Hospital, Pune-43.
Address of Correspondence
Dr. Nikhil Bhandari ,
Department of orthopaedics, Bharati Vidyapeeth (DTU) Medical College, and Hospital, Pune-43
E-mail: dr.nikhilbhandari23@gmail.com
Abstract
Introduction: Distal-end radius fractures are one of the most common fractures encountered by an Orthopaedic surgeon. It accounts for 17.5% of the fractures in adult age group, of which 57 to 66% are extra-articular, 9 to 16% are partial articular and 25 to 35% are complete articular fractures. Commonest mode of injury is fall on an outstretched hand with the wrist in dorsiflexion. Closed reduction and cast, with or without K wiring, closed reduction with External fixator or Open reduction (volar or dorsal) with internal fixation with either volar or dorsal plates are the various treatment modalities undertaken.
Till recently volar approach for plate fixation had been a preferred choice for even dorsally displaced distal end radius fracture due to high risk of complications like tendon irritation and rupture in dorsal approach and skin dehiscence. In recent years, due to availability of fragment-specific low profile dorsal plates there has been a renewed interest in dorsal approach for plate fixation in these fractures.
Material and methods: In the present observational study, 7 patients were evaluated who had dorsally displaced distal end radius fractures and underwent dorsal plate fixation by a dorsal approach. The outcomes were measured by Modified Mayo wrist score and VAS score. Patients were evaluated clinically and radiologically at 6 weeks intervals with follow-up after 1 year.
Results: At the end of 1-year, excellent results were observed in 6 of the 7 patients. Significant improvement was noted at 6 months and 1 year follow-up in Modified Mayo wrist score and VAS score. No complications were reported in any of the patients.
Conclusion: We conclude that dorsal plate fixation using a dorsal approach for dorsally displaced fractures of lower end radius with newer generation, low profile fragment-specific plates is a good treatment modality for dorsally displaced distal-end radius fractures.
Keywords: Dorsally displaced distal end radius fracture, dorsal plate fixation, dorsal surgical approach, Modified Mayo Wrist Score (MMWS), VAS Score.
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| How to Cite this article: Bhandari N, Khadilkar M, Agrawal R, Deshpande S, Mahajan A, Mane A. The functional outcome of dorsally displaced distal end radius fractures treated with dorsal plating: A series of 7 cases. Journal of Trauma and Orthopaedic Surgery April-June 2021;16(2): 26-29. |