Evaluation of functional outcome of open reduction and internal fixation with volar plating in reverse Barton’s fracture of distal radius

Abstract

Purpose: A study evaluating the clinical and functional outcome of open reduction and internal fixation with volar plating followed by early mobilization in reverse Barton’s fracture of distal radius. Method: 43 adults patients operated for distal radius reverse Barton’s fracture (Muller AO classification type 23 B3) were studied and functional outcomes were assessed using the DASH scoring system.Result:Functional outcome was excellent in 29 (67%), good in 11 (26%) and fair in 3 (7%) accoridng to patient rated DASH score. Patients who obtained excellent and good results, had no residual deformities or pain. Complication occurred in 4 (9%) cases of which 2 (4%) had joint stiffness, 1 (2%) had superficial infection and 1 (2%) developed median nerve neuropathy for which plate was removed.Conclusion: Reverse Barton’s fracture of the distal radius has excellent functional outcome with open reduction and internal fixation with volar plate. Anatomical reduction and early mobilization improves the outcome significantly.