Comparison between volar plate osteosynthesis and external fixation with percutaneous pinning in AO/OTA type C distal radius fractures and their early functional evaluation: a prospective study

Vol 28 | Issue 1 | Sep 2018 | page: 2-7 | Anirban Chatterjee, Kaustav Debnath, Vikash Kapoor, Sutanu Hazra


Authors: Anirban Chatterjee [1], Kaustav Debnath [1], Vikash Kapoor [1],
                   Sutanu Hazra [1]

[1] Medica Institute of Orthopedic Sciences, Medica Super
specialty Hospital, Kolkata.

Address of Correspondence
Dr. Kaustav Debnath
Medica Institute of Orthopedic Sciences, Medica Super
specialty Hospital, Kolkata.

E-mail: kaustav.debnath@gmail.com


Comparison between volar plate osteosynthesis and external fixation with percutaneous pinning in AO/OTA Type c distal radius fractures and their early functional evaluation: a prospective study

Abstract

Background: A prospective study was performed to assess the early functional outcomes in patients with AO/OTA type C distal radius fractures who were treated with either volar plate fixation or external fixation.
Method: 35 patients with AO/OTA type C distal radius fractures were treated with either volar plate fixation or bridging external fixation with supplementary Kirschner-wires. Both groups were similar in terms of age, gender, mode of injury, involved side and fracture patterns. All patients were followed up at 6 weeks, 3 months and 6 months. Functional evaluation was done in terms of residual pain, range of movement, grip strength and Mayo wrist score.
Result: Although during the first 3 months follow up, patients in the plate fixation group had significantly better functional improvement, these differences decreased over time and became non-significant in a subsequent follow-up. Operative time was significantly less in Ex-fix group and the rate of complications was also comparable.
Keywords: Intra-articular distal radius fractures, External fixation, Plate fixation
Background: A prospective study was performed to assess the early functional outcomes in patients with AO/OTA type C distal radius fractures who were treated with either volar plate fixation or external fixation.
Conclusion: Plate fixation provides better movement and early return of hand functions, whereas external fixation and pinning should be considered as a good alternative surgical method in elderly patients, especially with multiple co-morbidities, and in severely comminuted fractures.


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How to Cite this Article: Chatterjee A, Debnath K, Kapoor V, Hazra S. Comparison between volar plate osteosynthesis and external fixation with percutaneous pinning in AO/OTA Type c distal radius fractures and their early functional evaluation: a prospective study. International Journal of Orthopaedic Surgery  Sep 2018;28(1):2-7.

 


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