IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-5-15532 Original Research Paper A FUNCTIONAL AND RADIOLOGICAL CORELATION OF TREATED INTRAARTICULAR DISTAL END RADIUS FRACTURES IN ADULTS Mohit Kumar Meena Dr. Dr Vinay Joshi Dr. May 2018 7 5 01 02 ABSTRACT

Introduction: Fractures of distal end of radius are one of the most common skeletal injuries encountered inorthopaedics. Treatment of intraarticular distal radius fractures in adult patients is controversial.  There is no consensus on treatment and on which outcome measures are the most suitable for research and clinical practice.The study had been taken up to assess the corelation between radiological parameters and functional outcome in treated  patients posttreatment with intra–articular distal end  radius fracture

Aims and objective :–To Study Functional And Radiological Corelation Of Treated Intra–articular Distal End Radius Fractures In Adults.

Material and method: The study involves 50 patients with intraarticular fracture of distal end radius ,treated either conservatively or  operatively.  The patients of age group 31 to 50 yrs, either sex with closed intraarticular distal end of radius fractures were included in study. All the 50 patients  evaluated after treatment with the help of clinical, functional and radiological  parameters for a period of 9 months.

Results: In our study, the mean values for Radiological Findings at 9 months were as follows: Radial length – 8.52 mm, RadialInclination – 18.72 degrees, Dorsal tilt – 3.04 degrees. The total PRWE score changes from mean PRWE score 70 at 1½ months , to   29.96  at4½  months, to mean  PRWE Score 8.8  after 9 months . At 9 months Post treatment in 39 (78%) patients  with Good radiological score, 37 ( 74%) were having minimal grade of PRWE score and 2 (4%) patients were having mild grade of PRWE score. Also in 11 (22%) patients with Fair radiological score, 8 (16%) were having minimal grade of PRWE score and 3 (6%) patients were having mild grade of PRWE score.

Conclusion: The majority of the patients had a good to excellent radiographic score but only radial length had  strong positive corelation with the objective functional PRWE score statistically. So radial length was the most important radiographic parameter to be restored to obtain good and fair functional outcome in intraarticular distal radius fracture in young adults. . Small variations of other radiographic parameters donotaffect  the functional outcome at minimum  9 months follow–up.