Functional and radiological outcome of operative management of fractures of distal end of radius with locking compression plates

Abstract

Introduction: Closed reduction and cast immobilization has been the mainstay of treatment of these fractures but malunion of fracture and subluxation/dislocation of distal radioulnar joint resulting in poor functional and cosmetic results is the usual outcome. The residual deformity of the wrist adversely affects wrist motion and hand function by interfering with the mechanical advantage of extrinsic hand musculature. Methodology: This prospective study was conducted in patients on intra-articular distal end of radius fractures treated with volar locking plate in department of orthopedics. Twenty adult patients were included in this study. Results: LCP with combination holes gives surgeons the opportunity to combine the principles of internal fixation and dynamic compression. Conclusion: Recent studies indicates that the pitfalls faced due to a LCP system have nothing to do with the implant but is attributed to the nonobservation of important basic principles of the concept of biological osteosynthesis.