Correlation of functional and radiological outcome of management of distal end radiud fractures using a trinary surgical treatment Siddalingamurthy G.1, Sheshagiri V.2,*, Shreyas M.J.3 1Associate Professor, Dept. of Orthopaedics, J.S.S. Medical College and Hospital, Mysore, Karnataka, India 2Assistant Professor, Dept. of Orthopaedics, J.S.S. Medical College and Hospital, Mysore, Karnataka, India 3Resident, Dept. of Orthopaedics, J.S.S. Medical College and Hospital, Mysore, Karnataka, India *Corresponding Author: Email: drsheshu@yahoo.com
Online published on 24 September, 2018. Abstract The approach of surgical management of distal intraarticular radial fractures is gaining popularity in the current scenario, and there is no concluding evidence as to which method of surgery fares better than the other, this article attempts to compare the radiological and functional outcome of trinary surgical treatment (percutaneous pinning, ligamentotaxis and plate and screw fixation) for distal end radius intraarticular fractures. Materials and Methods It was a prospective study involving 90 patients who presented with distal end intra-articular radius fractures, each of these patients were randomly assigned to be treated by ligamentotaxis and plate and screw fixation, percutaneous pinning, (n = 30) each who were operated between January 2016 to May 2017 and their data with respect to functional and radiological outcome were collected over one year. Results In this research paper out of the 90 patients, the excellent scores were in 13 patients accounting 14.4%, good scores 47.8%in 43 patientsand fair and the poor scores 25.6% and 12.2% functionally were seen in 23 and 11 patientsrespectively, The Cramer s V value was not found significant, the values noted are 0.84. A significant association between groups and Volar tilt, Radial angle and Radial shortening. Cramer's V was found to be significant (P-value 0.0001) radiologically. Theoutcomewith respect to radiology and the function was measured using werley and gartland scoringand the lidstorm scoring system. Conclusion In this study the open reduction and internal fixation with plate and screws gave a restored radiological outcome compared to the ligamentotaxis and percutaneous pinning group but the functional outcome remained the same in all the three treatment groups. Top Keywords Distal radius Intra articular fractures, Volar locking plate, Percutaneous Kirshner wire fixation, Ligamentotaxis. Top |