Abstract: Aim: The purpose of this study was to evaluate the functional outcome of surgical management of distal radial fractures in adults using various methods such as Closed Reduction and External Fixation, External Fixation with Kirschner wire augmentation and Open Reduction and Internal Fixation with plate and screw.
Methodology: Prospective study was carried out in the Department of Orthopaedics, Great Eastern Medical School and Hospital (GEMS), Srikakulam. The assessment of results were made using the demerit score system of Gartland and Werley based on objective and subjective criteria, residual deformity and complications.
Results: Using the Demerit score system of Gartland and Werley, we had 5(10%) excellent results, 30(60%) good results, 13 (26%) fair results and 2 (4%) poor results. In our series, we had 10% excellent, 60% good, 26%, fair and 4% poor result. Patients, who obtained excellent results, had no residual deformities or pain. Range of motion was within the normal functional range. They had no arthritic changes or other complications. They were operated within 4 days after injury. Radial length, volar tilt and articular step-off were within acceptable limits. They were co-operative to physiotherapy. Patients with good results had minimal residual deformities, pain and slight limitation. Rest of their findings was within acceptable parameters. Patients with fair results, along with residual deformity, pain and limitation also had pain in the distal radio- ulnar joint and minimal complications. Few of their movements were less than that required for normal function.
Conclusion: Distal radial fractures are more common in the 3rd to 5th decades. Male preponderance is due to their involvement in heavy manual labour, outdoor activities and riding vehicles. Most of the fractures are treated with closed reduction and plaster application.
