Abstract: Background and Objective: Fracture of the distal radius is one of the most common skeletal injuries treated by orthopaedic surgeons. For a favourable functional outcome, radial length, radial tilt angle, and articular surface congruity must all be restored. Recognition of fracture patterns and fixation of fracture to maintain reduction is the key for successful management of complex fractures of distal radius. Volar locking plates allow improved fracture fixation without leading to soft tissue and vascular complications. They have been shown to provide excellent stability for an unstable fracture with volar Metaphyseal comminution. The objective of the study was to evaluate the clinical and functional outcome of fracture of distal end of radius treated by ORIF by Volar locking plate and screws using Criteria of Gartland and Werley Point System.
Methods: Thirty patients with fracture of distal end radius were treated by ORIF by Volar locking plate and screws in Karnataka institute of medical sciences, hubballi. Between from November 2020 to September 2022.
Results: The study included 30 patients, 27 male and 3 females aged from 21 to 69 years with mean of 33.53 years. The average duration of follow-up was 12 months. Using the Demerit scoring system of Gartland and Werley score, we had 20% excellent results, 50% good results, 16.67% fair results and 13.3% poor result. As per our results, excellent to good results were found in 70% of patients.
Interpretation & Conclusion: ORIF by Volar locking plate and screws can be an alternative to other procedures in treating the extra-articular fracture with volar displacement and volar Barton’s fracture radius. Excellent to good results are produced by using volar locking plate for fixation of distal radius fractures.
