Treatment of Volar Barton‘s Fractures of the Distal Radius with T–buttress Plate

Dr. Vijaynarasimman Reddy; Dr. Varun Manek

Volume : VIII, Issue : VII, July - 2019

Treatment of Volar Barton‘s Fractures of the Distal Radius with T–buttress Plate

Dr. Vijaynarasimman Reddy, Dr. Varun Manek

Abstract :

With an incidence of about 2–4 per 1,000 residents per year, the distal radial fracture is the most common fracture in the human skeleton.[1] Displaced fractures of the distal radius are difficult to treat successfully by traditional nonoperative methods. The goal in the management of these fractures is to achieve extraarticular alignment and an articular step off of less than 2 mm. Cast immobilization has been supplemented with pins and plaster technique and external fixators [2] Main objective is to restore articular integrity as perfectly as possible. Attention to meticulous surgical technique will facilitate good results.[3] Purpose : The purpose of this study was to investigate the efficacy of a fixed–angle locking plate applied through a single volar approach in maintaining the radiographic alignment of unstable intra–articular fractures as well as to report the clinical outcomes.[4] The Disabilities of the Arm, Shoulder, and Hand (DASH) score was 8. Conclusion : Irrespective of the direction and amount of initial displacement, a great majority of intra–articular fractures of the distal radius can be managed with a fixed–angle volar plate through a single volar approach. Treatment of volar Barton‘s fractures of the distal radius with a 3.5mm T–buttress plates leads to satisfactory results, provided the operative technique is carefully performed to prevent complications.