Evaluation of Outcomes of Intra-Articular Distal Radius Fractures Treated by Open Reduction and Internal Fixation Using Locking Buttress Plate
Abstract: Background: Intra - articular distal end radius fractures are among the most common orthopedic injuries, often resulting in functional impairment if not managed appropriately. Open reduction and internal fixation (ORIF) using locking plates has emerged as a reliable option for restoring anatomy and function in such fractures. Objectives: To assess the functional and radiological outcomes of intra - articular distal radius fractures treated with ORIF using a locking buttress plate. Methods: This prospective study included 25 skeletally mature patients with AO Type B and C distal radius fractures. All underwent ORIF via the modified Henry approach using volar locking plates. Functional outcomes were assessed using the Modified Mayo Wrist (MMW) Score, and radiological parameters (volar tilt, radial height, radial inclination, and ulnar variance) were evaluated at postoperative intervals up to 1 year. Results: The mean age was 34.2 years; 84% were male. Road traffic accidents were the most common cause (56%). Excellent to good MMW scores were noted in the majority by the end of 1 year (mean score: 83.06???9.30). Radiological parameters remained within functional range throughout follow - up with no significant change (p?>?0.05). Significant improvements were observed in all wrist movements over time (p?0.001). No major complications were reported. Conclusion: ORIF using volar locking plates provides stable fixation, maintains anatomical alignment, and allows early mobilization, resulting in excellent functional and radiological outcomes in intra - articular distal radius fractures.
Keywords: Intra - articular distal radius fracture, Volar locking plate, Open reduction internal fixation (ORIF), Functional outcome, Radiological outcome
How to Cite?: Surender Gahlot, Dr Braham Prakash, "Evaluation of Outcomes of Intra-Articular Distal Radius Fractures Treated by Open Reduction and Internal Fixation Using Locking Buttress Plate", Volume 14 Issue 7, July 2025, International Journal of Science and Research (IJSR), Pages: 495-498, https://www.ijsr.net/getabstract.php?paperid=SR25701201917, DOI: https://dx.doi.org/10.21275/SR25701201917