A DORSAL PLATING FOR DISTAL RADIUS FRACTURES: A RELIABLE TECHNIQUE FOR UNSTABLE DORSAL FRACTURES
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Keywords
Dorsal plating, unstable distal radius fractures, functional outcomes
Abstract
Introduction: Distal radius fractures are among the most common injuries encountered in orthopedic practice, particularly affecting the elderly population and individuals involved in high-impact activities.
Objective: The main objective of this study is to find out Results and reliability of Dorsal plating for Unstable Distal Radius Fractures
Study design: An analytical cross-sectional study
Duration: six months duration
Methodology: Data were collected from 31 patients. Patients with prior wrist fracture or surgery, and patients followed for less than 6 months were not included in the study All included fractures were acute and closed and all were fixed within 2 days of injury. All cases were operated by experienced trauma surgeons at various centers. The Patients range of motion was assessed on their final follow up and grip strength was assessed on their affected and unaffected wrist using a dynamometer for the assessment tool. In the radiographic analysis, we looked into the union, loss of the reduction, and establishing of arthritis as outcomes.
Results: Data were collected from 31 patients according to inclusion and exclusion criteria of the study. The average duration of surgery was 75 minutes. Functional assessments showed substantial reductions in DASH and PRWE scores, with preoperative scores of 68 and 70 improving to 18 and 20, respectively, at six months (p < 0.01 for both). Radiographic parameters also improved markedly; volar tilt corrected from -15 to 5 degrees, radial height from 8 mm to 12 mm, and radial inclination from 18 to 22 degrees.
Conclusion: Dorsal plating has proven to be an effective and safe technique for treating dorsally unstable distal radius fractures, significantly improving functional outcomes and ensuring stable anatomical alignment.
References
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Eslam Mohammed Shalab
Senior Specialist Orthopedic and Trauma, Dubai academic health corporation, Hatta hospital, United Arab Emirates
Abdirizak Moalin Hussein
MD. PhD, Orthopedic and Trauma Surgeon. Rashid Hospital Dubai, United Arab Emirates.
Niaz Hussain Keerio
Assistant Professor Orthopedic, Muhammad Medical College, Ibn-E-Sina University Mirpurkhas Pakistan.
Munawar Hussain
Specialist Orthopedic, Al Qassimi Hospital Sharjah, United Arab Emirates.
Irshad Ahmed
Associate Professor Orthopedic, Liaquat University of Medical and Health Sciences Jamshoro Sindh Pakistan
Hira Chaudary
Medical Officer, Sardar Bibi Trust Hospital, Lahore, Pakistan.