Outcome of Intra - Articular Fractures of the Distal End of the Radius Managed Using Volar Variable Angle Locking Plate

Background: Distal radius fractures are one of the most common fractures of human skeleton. Despite advances in management of these fractures a consensus regarding the best treatment protocol is still lacking. Methods : This prospective study involved 20 patients (13 males; 7 females) who presented with fractures of distal end radius. There were three B3 (29%), six C1 (35.5%) & eleven C2 (9.7%) fractures according to AO classification system. The mean age was 36.39 years and the mean follow up was 2.4 years. At the tim e of final evaluation outcome was assessed as per Gartland and Werley scoring system. Statistical assessment was done using Chi - square test and p values were obtained at final follow up. Results: All fractures healed within a mean period of 10 weeks rangin g from 8 to 14 weeks. At the time of final follow up pronation were 81.38 , supination 86.34 degrees, palmar flexion 58.030, dorsiflexion 61.93 , radial deviation 19.21 & ulnar deviation 31.32 . Radiological parameters as measured at final evaluation were : volar tilt 5.76 degrees, radial inclination 19.10 degrees & ulnar variance - 0.42 mm. As per Gartland and Werley score, 85% had excellent outcome, 5% good, 5% fair and 5% had poor outcome. Two patients had complications, one complained of screw impingement for which imp lant removal was done at 12 months after surgery while other patient developed Sudeck's osteodystrophy which was managed conservatively. Conclusion: Variable angle locking plate is a reliable implant associated with good outcome in intra - articular fractures o f the distal end of the radius.