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National Journal of Clinical Orthopaedics
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Impact FactorRJIF: 3.25

2022, Vol. 6 Issue 1, Part A
Short term clinical and radiological results of volar locking plating in volar barton fractures
Author(s): Dr. Suhail Shabnum Wani, Dr. Inam ul Haq and Dr. Shariq Hussain
Abstract: Introduction: Volar Barton's fracture is fracture-dislocation of radiocarpal joint with the intra-articular fracture involving the volar lip. Open reduction and internal fixation is the preferred method as this allows reduction under direct vision, stable internal fixation, shorter period of immobilization, and fast return of function.
Materials and Methods: The study consisted a total of 20 patients who were operated in the Department of Orthopaedics, Government Medical College Srinagar during the period of 2019-2021. All the patients were managed by volar locking plating. Inclusion criteria were: age 18-60 years, both sexes, patient consenting for surgery and patients fit for anaesthesia. Exclusion Criteria were: associated factures of ipsilateral limb, delayed presentation more than 2 weeks, pathological fractures and open fractures.
Results: Mean age of our patients was 27.3 years. The average palmar flexion was 72.5 degrees and the average dorsiflexion was 80.4 degrees. The mean supination was 82 degree and mean pronation at final follow up was 78 degrees. In the present study, the average radial inclination at final follow up was 17 degrees. All the 20 patients in this study had less than 5 mm radial shortening. Average palmar tilt at final follow up was around 7.5 degrees. 75% of the patient had excellent outcome based on Gartland and Werley score.
Conclusion: Anatomical reduction of volar barton fractures is important to achieve good procedural outcomes. Volar locking plates have shown promising results in volar barton fractures.
Pages: 10-12  |  619 Views  190 Downloads
How to cite this article:
Dr. Suhail Shabnum Wani, Dr. Inam ul Haq, Dr. Shariq Hussain. Short term clinical and radiological results of volar locking plating in volar barton fractures. Nat J Clin Orthop 2022;6(1):10-12 DOI: https://doi.org/10.33545/orthor.2022.v6.i1a.341
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