This is very common injury faced by Orthopaedic surgeons. It accounts 15-16% of the total percentage trauma. The restoration of normal congruency of distal radius is essential, otherwise the secondary osteoarthritis of wrist joint sets in at a faster pace. The modalities of treatment available are a) Closed reduction, b) crossed K-wires, c) External fixator, d) volar locking compression plate.
There are various parameters to assess the displacement which are a) ulnar variance, b) radial length, c) radial inclination, d) palmar tilt, e) dorsal angle. The results of fixation depend entirely on all these factors aforementioned, which can judge whether the normal anatomy of the joint is restored.
15 cases of fracture distal radius are treated with volar LCP, 33 cases are treated with crossed k wires with or without external fixator frame. The results of both the techniques were more or less similar. But volar LCP require more precison & soft tissue dissection. The operating time & the hospitalization, is more along with the risk of infection.
The other technique i.e. fixation with crossed K -wires is user friendly technique, where there is no need of open surgery, results are comparable with those fixed with volar LCP. But when there is involvement of partial articular surface, AO type B, volar LCP is the treatment of choice.