Authors : Muhammed Ehsan Nazeer, Jagannath Kamath, Muhammed Nazeer, Harshit Shetty, Harish Maheshan, Manesh Kumar Jain
DOI : 10.18231/j.ijos.2022.020
Volume : 8
Issue : 2
Year : 2022
Page No : 113-119
Background: Fractures of the distal radius are one of the most common injuries seen in our day-to-day practice. It accounts for almost 4% of the injuries seen in the emergency department. Despite its high incidence and the substantial possible implications of suboptimal management, no high-level evidence regarding the best treatment method yet exists.
Aim: The study aimed to compare the functional outcomes of extra articular distal radius fractures managed operatively with those managed conservatively.
Materials and Methods: In this prospective cohort study conducted between November 2018 to September 2020, 18 to 65 years old patients with displaced extraarticular distal radial fracture were treated surgically or conservatively.
DASH and Modified Mayo Wrist Score were calculated after a follow up of one year.
Results: At the end of 12 months the patients were evaluated, and it was noticed that patients who were treated operatively had significantly better functional and clinical outcomes, as indicated by significantly higher Mayo scores than patients treated conservatively by casting (all p values < 0>
Conclusions: Patients treated with volar plate fixation were able to resume activities of daily living few weeks earlier compared to those managed with K-wire fixation and conservative group. Therefore, we can conclude that volar plate fixation gives significantly better clinical and functional results than other methods of treatment.
Keywords: DASH score, Distal radius fracture, Extra-articular, Grip strength, Modified mayo wrist score, Volar locking plate.