Abstract: Introduction: Various treatment options for management of distal radius fracture include close reduction and application of cast, K wire fixation, external fixator application and open reduction and plating. The current study is aimed to assess the outcome of distal end radius fracture managed by minimally invasive plate osteosynthesis by evaluation of clinical results, radiological features and functional outcome.
Materials and Methods: This was a prospective study conducted in Orthopedics department of SGRRIMHS, Dehradun 80 patients were enrolled. Evaluation was done on the basis of clinico- radiological and functional assessment. The parameters were measured preoperatively and on 4, 12 and 24 weeks. Chi square test was used to compare proportions and T-test was used to compare means of groups. P-value <0.05 was considered significant.
Results: Mean age of participants was 42.55±19.5 years. Mean duration of surgery was 76.05 minutes. Mean post op Radial inclination was 18.10 degree, Mean post op Volar tilt was 10.45 degree, Mean post op Radial height was 9.25mm. Mean Wrist flexion at final follow up achieved was 51 degree and Mean Wrist extension was found to be 42.5 degree. Mean percentage of Grip Strength was 81.8%.DASH score at final follow up was found to be 7.2.
Conclusion: Minimally invasive plate osteosynthesis can be utilised for extra articular distal radius fracture and intra articular fractures with minimal communition as it avoids extensive soft tissue dissection, preserve pronator quadratus and periosteal blood supply and provides rigid fixation, allows early mobilisation and better clinical, radiological and functional outcomes.
