A Prospective study of Different Types of Fixation of Intra Articular Fracture of Distal Radius in Adults

Comminuted distal radius fracture in adults are challenging to treat. 48 successive patients with Closed comminuted fracture of distal radius (26 males and 22 females) were treated. They include AO Type B(n=27) and AO type C(n=21) treated with Volar plating, External fixation and K-wire with plaster immobilization. Presence of skin abrasion decide the types of fracture. At one year follow up acceptable results were found in 15/19 of volar plating, 12/14 of external fixation and 14/15 of K-wire fixation. Complications like pin site infection, radial sensory nerve deficit, intra articular screw migration, keloid formation were seen. The results of the management of 3 methods are the same but complications are less and patient compliance are better with volar plating