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Research ArticleOpen Access

Benefits of Palmer T- Plate Osteosynthesis in Unstable Distal Radius Fracture Management

Volume 2 - Issue 3

Muhammad Ayub Khan1, Asad Khan Ghilzai2, Syed Kamran Ali Shah1* and Muhammad Kazim Rahim Najjad1

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    • 1Department of Orthopedics, Liaquat National Hospital, Pakistan
    • 2Trauma Orthopedic Clinic, Pakistan

    *Corresponding author: Syed Kamran Ali Shah, Department of Orthopedics, Liaquat National Hospital, Karachi, Pakistan

Received: February 03, 2018;   Published: February 16, 2018

DOI: 10.26717/BJSTR.2018.02.000766

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Abstract

Objective: To evaluate the functional outcome of unstable distal radius fracture in adults treated with palmer T-plate Osteosynthesis.

Methods: This Prospective observational study was conducted at department of orthopedic surgery, from November 2013 to October 2015. Total of 86 patients were registered in this study with acute fracture within 24 hours of injury. Physical and radiological examination was done. Patients had follow up at 2nd, 6th, and 12th week after operations. On follow up, patients was asked to answer DASH (Disability of arm shoulder and hand) Score questionnaire and observation made with respect to development of movement at 2nd, 6th and 12th week after removal of splint. Movement at wrist was evaluated objectively with the elbow flexed to 90° and the arm adducted, measurement carried by using goniometry. Outcome with DASH score < 50 and goniometry angle’s degree >50 will be considered as satisfactory.

Results: Satisfactory outcome (DASH <50) was observed in 60(69.77%) patients. Outcomes with respect to age, gender, mode of admission and type of fractures were found statistically insignificant.

Conclusion: The palmer T-plate can produce reliable and acceptably good results in the treatment of unstable distal radius fractures without angle-stable screws up to now. We concluded that stable and early mobilization with good functional outcomes can be obtained with this type of Osteosynthesis.

Keywords: Distal radius fractures; Osteosynthesis; T-plate; DASH Scores

Abbreviations: DASH: Disability of Arm, Shoulder and Hand; DRF: Distal radius fractures; SPSS: Statistical Package for Social Sciences

Abstract| Introduction| Materials and Methods| Results| Discussion| Conclusion| References|