Abstract Issue

Volume 13 Issue 4 (April) 2024

Original Articles

Study of surgical management of volar barton’s fracture by different methods
Dr. Sannith Kumar Korutla, Dr. Rajendar Reddy B, Dr. Mohammed Faisal, Dr. Raju Dande

Aims: To study the functional outcome of surgical management of volar barton fractures of distal end of radius with various surgical methods. Materials and methods: A prospective study conducted on thirty adult patients with volar bartons fractures treated. Results:The average age was 40.66 years with the fracture being more common in the 4th and 5th decades. Males were predominant with right wrist affection more than left. All fracture were either due to road traffic accidents or fall on the outstretched hand, with road traffic accidents being more common of the two. With different fracture patterns of both extra-articular and intra- articular type. The average duration from the date of injury to the date of surgery was 3.9days. Surgery was delayed till the 10th day in 2(3.33%) patients who had hypertension and Diabetes mellitus and associated fractures. 8 ( 28.33%) patients had residual deformities which included prominent ulnar styloid, radial deviation and dinner fork deformity. There were no instances of delayed union or nonunion. Malunion was found to be within acceptable limits in all cases except 2(8.33%). Percentage of complications were more in patients who underwent K-wires fixation ,external fixation with K wire augmentation compared to open reduction and internal fixation with plating. Using the Demerit score system of Gartland and Werley, we had 9(30%) excellent results, 16(53.33%) good results, 4(13.33%) fair results and 1(3.33%) poor results. Conclusions:Surgical management of volar bartons fractures, regardless of the type of fixation, produces excellent to good results with proper pre-operative evaluation, selection of the method based on fracture pattern, reducibility, stability and quality of bone, early fixation, proper wound and pin site care, early post-operative rehabilitation and patient education.

 
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