Mishra D, Chaudhary P, Das KP, Shrestha M, Bhataju S, Pandey AK, Gurung YB, Islam A


Background: Volar Barton’s fracture is a common problem among the distal radius fracture. Volar articular margin is displaced and inherently unstable fracture. Objectives: Aim of this study is to assess outcome after stabilization of the fracture with locking buttress plate in terms of stability, functional recovery and operative complications. Method: This study was carried out in the department of Orthopaedics of Bangabandhu Sheikh Mujib Medical University, Bangladesh for the duration of 2.5 years. Within this period 30 patients of Volar Barton’s fracture were selected as per inclusion and exclusion criteria. Results: In the final follow-up 6.7% had excellent scores, 73.3% had good scores and 20% fair scores on the basis of anatomical outcome. However, 90% had satisfactory functional outcomes on the basis of modified Mayo’s wrist scoring system. Conclusion: The Volar buttress plate is found to be an effective technique of fixation.  The Volar locking buttress plate maintains articular congruity, radial length and alignment.



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Arora, J & Malik, AC 2005, ‘External fixation in comminuted, displaced intra-articular fractures of the distal radius: is it sufficient’, Arch Orthop Trauma Surg, vol.125, no.8, pp.536-540.

Richard, Y, Kim, MD & Melvin, PR 2007, ‘Internal Fixation of Distal Radius Fractures’, A Supplement to the American Journal of Orthopedics, vol.36, no.12l, pp.2-7.

Trumble, TE, Schmitt, SR &Vedder, NB 1994, ‘Factors affecting functional outcome of displaced intra-articular distal radius fractures’, J Hand Surg Am, vol.19, no.2, pp.325-340.

McQueen, M, Hajducka, C & Court-Brown, CM 1996, ‘Redisplaced unstable fractures of the distal radius: a prospective randomised comparison of four methods of treatment’, J Bone Joint Surg Br,vol.78, no.3, pp.404-409.

Kreder, HJ, Hanel, DP &Agel, J 2005, ‘Indirect reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular fractures of the distal radius: a randomised, controlled trial’, J Bone Joint Surg Br, vol.87, no.6, pp.829-836.

Willis, AA, Kastumi, K, Zobitz, ME & Cooney, WP 2006, ‘Internal fixation of dorsally displaced fractures of the distal part the radius: a biomechanical analysis of volar plate fracture stability’, J Bone Joint Surg Br, vol.88, pp.2411-2417.

Crenshaw, AH 1988, Fracture of Shoulder Girdle Arm and Forearm, CambellOrth, Terrycanle, Tenessee.

Smith, BS & Cooney, WP 1996, ‘Revision of failed bone grafting for nonunion of the scaphoid : Treatment options and results’, ClinOrthop, vol.327, pp.98-109.

Lidström A. Fractures of the distal end of the radius: a clinical and statistical study of end results. Acta OrthopaedicaScandinavica. 1959 Oct 1;30(sup41):1-18.

Sarmiento,A, Zagorskl, JB & Sinclair, WF 1980, ‘Functional bracing of collesfracture: a prospective study of immobilization in supination vs pronation’,ClinOrthop, vol.50, pp 581-696.

Jebsen, RH, Taylor, N&Triegchmann, R1969, ‘An objective and standardized test for hand function’,ArchPhys Med Rehabil, vo.50, pp.311.

Cooney WP, Bussey R, Dobyns JH, Linscheid RL. Difficult wrist fractures. Perilunate fracture-dislocations of the wrist. Clinical Orthopaedics and Related Research. 1987 Jan(214):136-47.

Ketan G, Nishant G, Kapale JS, Nirav P, Vaibhav K, Sudeep D, Aminuddin Q, Gaurang C 2015. ‘To compare functional outcome, complications & results of open reduction & internal fixation with closed reduction &external fixation in volar displaced distal radial fracture’,Journal of Evidence Based Med & Healthcare; Vol. 2(9), pp. 1155-1167.

Harish P, Girish KK, Sudheendra PR, Harminder S. 2016, ‘Functional results and complications of displaced intra articular distal radius fracture treated by volar plates’, Journal of Science, Vol. 6, Issue-1, pp. 1-4.

Aggarwal, AK, Nagi, ON, 2004, ‘Open reduction and internal fixation volar Barton’s fractures: A prospective study’, Journal of Orthopaedic Surgery, 12(2), pp. 230-234.

Mann, FA, Wilson, AJ&Gilula, LA 1992, ‘Radiographic evaluation of the wrist: what does the hand surgeon want to know’,Radiology,vol.184(1), pp.15–24.

Kevin, C. Chung, Andrew, J, Watt, Sandra, V, Kotsis, Zvi, M, Steven, C, Haase, H& Myra, K 2006,‘Treatment of Unstable Distal Radial Fractures with the Volar Locking Plating System’, The Journal of Bone & Joint Surgery, vol. 88-a, no. 12, pp. 2693

Rozental, TD &Blazar, PE 2006, ‘Functional outcome and complications after Volar plating for dorsally displaced, unstable fractures of the distal radius’, J Hand Surg Am, vol.31, pp.359–65.

Casaletto JA, Machin D, Leung R&Brown DJ 2009, ‘Flexor pollicislongus tendon ruptures after palmar plate fixation of fractures of the distal radius’,J Hand SurgEur, vol.34, pp.471–474.

Knight, D, Hajducka, C, Will, E& McQueen, M 2010, ‘Locked volar plating for unstable distal radial fractures: clinical and radiological outcomes’,Injury, vol. 41(2), pp.184-9.

Abbaszadegan, H, Jonsson, U & Von SK 1989, ‘Prediction of instability of Colles’ fractures.ActaOrthopScand, vol. 60, pp.646–50.

Porter, M, Stockley, I 1987, ‘Fractures of the distal radius: intermediate and end results in relation to radiologic parameters’,ClinOrthopRelat Res,vol.220,pp.241–252.

Chung, KC &Petruska, EA 2007, ‘Treatment of Unstable distal radial fractures with the volar locking plating system’,JBJS, vol. 89(2), pp. 256-66.

Ring, D, Roberge, C& Morgan, T 2002, ‘Osteotomy for malunited fractures of the distal radius: a comparison of structural and nonstructural autogenous bone grafts’, J Hand Surg Am, vol.27, pp.216-222.

Ring, D, Prommersberger, KJ&Gonzalez,DPJ 2005, ‘Corrective osteotomy for intra-articular malunion of the distal part of the radius’, J Bone Joint Surg Amvol.87, pp.1503-1509

Sung-Sik, Ha, Tae-Ho, K, Ki-Do, Hong, Jae-Chun, S& Jong HK2011, Comparison of Operative Management in Distal Radius Fractures Using 3.5 mm Versus 2.4 mm Volar Locking Compression Plates, Department of Orthopedic Surgery, Sahmyook Medical Center, Seoul, Korea.

Jupiter JB, Fernandez DL, Toh CL, Fellman T, Ring D. Operative treatment of volar intra-articular fractures of the distal end of the radius. J Bone Joint Surg Am1996;78:1817-28.

Mow VC, Proctor CS, Kelly MA. Biomechanics of articular cartilage. In: Nordin M, Frankel VH, eds. Basic Biomechanics of the Musculoskeletal System. 2nded.Philadelphia: Lea &Febiger, 1989:31-58.

West RV, Fu FH. Soft-tissue physiology and repair. In:Vaccaro AR, ed. Orthopaedic Knowledge Update 8. Rosemont, IL: American Academy of OrthopedicSurgeons, 2005:15-27.


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