Comparison between two techniques for distal radial fractures management

Abstract

Background: One of the most frequent fractures found are distal radius fractures. For less displaced fractures, closed reduction and casting is the preferred method of treatment; for more difficult fractures, open reduction and internal fixation (ORIF) is used. ORIF helps to restore the anatomy of the wrist, facilitating quicker recovery and improving therapeutic results. 

Patients and Methods: We examined 32 terminal radius cracks that were repaired on between August 2019 and April 2021 using variable-angle volar locking plates. With periods of follow-up varying from six to eighteen, the patients' mean age was 41 years, with a range of 22 to 60. With an alternate angle volar locking plate, sixteen patients endured open reduction and internal fixation, while sixteen more patients acquired a fixed angle volar locking plate using a modified Henry technique. Following a 6-month period, a comprehensive assessment was conducted, encompassing wrist range of motion as determined by a goniometer, discomfort, tendon functions to assess the potential for tendon rupture or tenosynovitis, and median nerve functions. Complete fracture consolidation was ensured using X-rays. According to VAS, Mayo, and QDASH, clinical outcomes were assessed.

Results: Hand dominance and the ultimate score were closely linked. The ultimate clinical outcome did not correlate with sex or occupation, but it did correlate with age and smoking habit.

Conclusion:  this study revealed that volar locking plates with angle-stabilized screws, is starting to be applied extensively. It is safe and efficient to treat comminuted distal radius fractures with a volar variable angle plate fixation. By using these plates, hardware complications are significantly reduced and outstanding and good functional outcomes are associated.

Keywords: Distal Radial Fractures, Volar Locking Plate.