FUNCTIONAL OUTCOME OF VOLAR LOCKING PLATES AND SCREWS IN TREATING INTRA-ARTICULAR FRACTURES OF THE DISTAL RADIUS: A RETROSPECTIVE STUDY

• Published in: Student's journal of health research Africa Vol. 4; no. 9
• Main Authors: Dr. Shankar Niwas, Dr. Pawan Kumar, Dr. Shashi Dinakar Minj
• Format: Journal Article
• Language: English
• Published: Student's Journal of Health Research 01.09.2023
• Subjects: Distal radius fracture; Functional outcome; Intraarticular fracture; Volar Locking Plate (VLP)
• ISSN: 2709-9997
• DOI: 10.51168/sjhrafrica.v4i9.687

Introduction: For unstable radius distal fractures, to promote rapid recovery of wrist function, Volar locking plates are used widely. It has been noted that volar plate presence near the watershed line is associated with tendon discomfort, and it was advised to avoid implant prominence in this region. Aim of the Study: To determine which method is more effective in treating wrist or hand fractures, a Synthes 2.4 mm LCP or an Acumed Acu-Loc VLP. Materials & Methods: All patients with a Synthes 2.4 mm LCP or an Acumed Acu-Loc VLP or 4 years were reviewed in a follow-up study. The lunate fossa joint line was 10 millimeters from the pattern of the marginal distal radius fracture. The results were evaluated, including motion range, grip strength, and reported pain levels. Results: Eighty-four patients met the requirements for inclusion. 42 patients received care using the method of Synthes 2.4 mm LCP, while 42 patients received care using Acumed Acu-Loc VLP. The main result showed that the latter results of the Acu-Loc VLP group had significantly better post-operative range of motion (P = 0.016) and grip strength (P = 0.014). Acu-Loc VLP participants also had significantly higher MAYO wrist scores (P = 0.006). Conclusion: If properly and carefully positioned in the position for which it was intended, we think the Acumed Acu-Loc VLP produced superior results than the Synthes 2.4 mm LCP Recommendation: Despite implant improvements, distal radius VLP ORIF still causes flexor tendon irritation or rupture. When properly positioned, the Acumed Acu-Loc VLP beat the 2.4 mm LCP synthesis design in functional results. Treating marginal distal radius fractures with this insertion improves patient satisfaction.