Author(s): Ketan Gupta1, Nishant Gaonkar2, Kapale Jineshwar Sudhir3, Nirav Patel4, Vaibhav Koli5,Sudeep Date6, Aminuddin Qureshi7, Gaurang Chanchpura8
Distal radius fractures account for 17% of all fractures in adults. The fracture of the lower end of radius crush the mechanical foundation of man???s most elegant tool, the hand. No other fracture has a greater potential to devastate hand function. Today, open reduction of the fracture with internal fixation and closed reduction of the fracture with external fixation, forms the mainstay of the treatment of an uncomplicated distal end radius fracture in a patient unless specifically contraindicated.
AIMS AND OBJECTIVES: To compare functional outcome, complications & results of two commonly used surgical methods; Open reduction & internal fixation with volar placed buttress plate and Closed reduction & external fixation with „Jess fixator??? and internal fixation with „k-wire??? in volar displaced distal radial fractures.
MATERIALS AND METHODS: Total 30 cases were included in the study. 15 patients were treated with Open reduction & internal fixation with volar placed buttress plate and 15 were treated with Closed reduction & external fixation with „Jess fixator??? and internal fixation with „k-wire??? in volar displaced distal radial fractures. Patients were followed up at regular intervals and Anatomical and functional outcomes were evaluated in all the patients.
RESULTS: Patients treated with Open reduction & internal fixation, 8 showed excellent results, 5 good and 2 fair results. Patients treated with closed reduction and external fixation 4 showed excellent results, 5 good, 4 fair and 2 showed poor results.
CONCLUSION: O.R.I.F is generally preferred modality gives better results in terms of functional recovery and decrease morbidity to patient.