A STUDY OF FUNCTIONAL OUTCOME OF VOLAR BARTON FRACTURE TREATED WITH OPEN REDUCTION AND VOLAR PLATE FIXATION

DR.JAYESHKUMAR  S BALDANIYA; DR. KUSHAL P DOSHI

Volume : V, Issue : VIII, August - 2016

A STUDY OF FUNCTIONAL OUTCOME OF VOLAR BARTON FRACTURE TREATED WITH OPEN REDUCTION AND VOLAR PLATE FIXATION

Dr. Jayeshkumar S Baldaniya, Dr. Kushal P Doshi

Abstract :

Introduction: Barton�s fracture, named after the American surgeon John Rhea Barton, is a fracture of the distal end of the radius that involves the articular surface and is usually accompanied by subluxation or dislocation of the radiocarpal joint. Many modalities are being used now a days to treat this fracture including conservative treatment with casting, close reduction and K–wire fixation, external fixation with or without K– wire fixation, open reduction and internal fixation using volar plate. The purpose of this study is to assess the functional outcome of volar barton�s fracture of distal radius treated with open reduction and internal fixation using volar plate. Material and method: The study is carried out at department of orthopedic at tertiary health care center. All the patients having volar barton fracture of distal radius satisfying inclusion and exclusion criteria and treated with open reduction and internal fixation using volar plate were selected. Result: Functional and radiological evaluation as per Modified Cooney, Green and O�Brien functional score for wrist was done on last follow up which is minimum of 18 months. Conclusion: Volar barton fracture are best treated with open reduction and internal fixation using volar locking plate. Routine decompression of median nerve is not required in all the cases.