Indian Journal of Orthopaedics Surgery


Correlation of functional and radiological outcome of management of distal end radiud fractures using a trinary surgical treatment


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Author Details: Siddalingamurthy .G, Sheshagiri .V, Shreyas. M.J

Volume : 4

Issue : 2

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 141

Article End Page : 146


Abstract

The approach of surgical management of distal intraarticular radial fractures is gaining popularity in the current scenario, and there is no concluding evidence as to which method of surgery fares better than the other, this article attempts to compare the radiological and functional outcome of trinary surgical treatment (percutaneous pinning, ligamentotaxis and plate and screw fixation) for distal end radius intraarticular fractures.
Materials and Methods: It was a prospective study involving 90 patients who presented with distal end intra-articular radius fractures, each of these patients were randomly assigned to be treated by ligamentotaxis and plate and screw fixation, percutaneous pinning, (n = 30) each who were operated between January 2016 to May 2017 and their data with respect to functional and radiological outcome were collected over one year.
Results: In this research paper out of the 90 patients, the excellent scores were in 13 patients accounting 14.4%, good scores 47.8% in 43 patients and fair and the poor scores 25.6% and 12.2% functionally were seen in 23 and 11 patients respectively, The Cramer s V value was not found significant, the values noted are 0.84. A significant association between groups and Volar tilt, Radial angle and Radial shortening. Cramer’s V was found to be significant (P- value 0.0001) radiologically.
The outcome with respect to radiology and the function was measured using werley and gartland scoring and the lidstorm scoring system.
Conclusion: In this study the open reduction and internal fixation with plate and screws gave a restored radiological outcome compared to the ligamentotaxis and percutaneous pinning group but the functional outcome remained the same in all the three treatment groups.

Keywords: Distal radius Intra articular fractures, Volar locking plate, Percutaneous Kirshner wire fixation, Ligamentotaxis.

Doi No:-10.18231/2395-1362.2018.0030