Fragment Specific Fracture Fixation in the Management of Communited Intra Articular Distal Radius Fractures: An Assessment of Functional Outcome

Description

Abstract (English)

Introduction: Distal radius fractures are typical high energy trauma injuries, and their
treatment is impacted by parameters such as fracture stability, displacement, and patient
characteristics. Fragment-specific fixation can be an effective treatment option for distal
radius fractures. The purpose of this study was to assess the therapy of communited intra
articular distal radius fractures using a fragment specific fracture fixation approach.
Material and Methods: Thirty-one cases with communited distal radius fractures above 21
years of age were recruited. Based on Medoff fracture classification, all the fractures were
treated with fragment specific fracture fixation. Postoperative follow up was conducted on
the end of 3rd week, 6th week, 3rd month, 6th month and end of 12th month and then until the
complete closure of fractures. The functional outcome of fracture was assessed by Gartland
and Werley scoring system.
Results: Majority cases had fracture union duration 8 weeks (54.84%) followed by 10 weeks
(32.26%). According to Gartland and Werley score, 70.96% had score 0, 9.68% had score 2,
6.45% had core 3 and score 4. The excellent (0-2) functional outcome was observed in
90.32%, good (3-8) in 6.45% and fair (9-20) in 3.23% of cases.
Conclusion: Fragment specific fracture fixation was an efficient treatment modality for
Communited intraarticular distal radius fractures.