FUNCTIONAL OUTCOMES OF DISTAL RADIUS FRACTURES MANAGED WITH 2.7MM VARIABLE ANGLE VOLAR LOCKING COMPRESSION PLATES

Abstract

Objective: About 15 to 17 % of all fractures presenting to emergency department constitutes the distal radius fracture. Intra-articular fracture of distal radius remains one of the most challenging fractures to be reduced over decades for orthopedic surgeons. Objective is to demonstrate the functional outcomes of 2.7mm variable angle volar locking compression plate using Mayo’s wrist score in distal radius fracture.

Methodology: A Quasi experimental study was conducted in the Department of Orthopedics & Trauma, CMH Rawalpindi from 20^th October 2020 to 19^th April 2021. A total of 120 patients with distal radius fracture AO Classification A1 C2 C3, 19 to 69 years of age of both genders were included. Outcome of 2.7mm Variable angle Volar Locking Compression Plates using Mayo’s wrist score was calculated. Data was entered in SPSS version 25. Descriptive analysis was done for age. Gender and mayo wrist scoring criteria were presented as frequencies and percentages. To analyze association of the outcome with age and gender chi-square test was applied.

Results: Mean age in the study was 40.34 ± 8.01 years. Majority of the patients 71 (59.17%) were between 19 to 40 years of age. Out of 120 patients, 82 (68.33%) were males and 38 (31.67%). 51 (42.50%) patients had excellent functional outcome, 47 (29.17%) had good outcome, 13 (10.83%) had fair outcome and 09 (7.50%) had poor outcome.

Conclusion: The functional outcomes of 2.7mm volar locking compression plate using Mayo’s wrist score in distal radius fracture is very good.