Retrospective study of Unstable Volar Barton Fracture treated by External Fixator

Authors

  • Bhoj Raj Adikhari Associate Professor, Department of Orthopaedics & Trauma Surgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal,
  • Rajesh Chaudhary Assistant Professor, Department of Orthopaedics & Trauma Surgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
  • Bhadra Hamal Assistant Professor, Department of Orthopaedics & Trauma Surgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
  • Badri Rijal Assistant Professor, Department of Orthopaedics & Trauma Surgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal

Keywords:

Distal radius, External fixator, Modified Mayo wrist score, Volar Barton Fracture.

Abstract

INTRODUCTION: Volar Barton fracture is a common problem among the distal radius fracture. Volar articular margin is displaced and inherently unstable. External fixator is well established for the stabilization of the distal radius fracture in terms of stability, functional recovery and operative complications.

METHOD: This retrospective study was carried out in the department of Orthopedics & Trauma Surgery, National Trauma Center; Kathmandu, from March 2016 to September 2018. Within this period, 38 patients of unstable distal radius fractures were selected as per inclusion and exclusion criteria.

RESULT: In the final follow-up; 26.3% had excellent scores, 60.5% had good scores and 13.2% had 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 external fixator was found to be an effective technique of fixation in displaced unstable volar Barton fracture; as it maintained articular congruity, radial length and alignment

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Published

2020-12-25

Issue

Vol. 20 No. 2 (2020): Jul-Dec

Section

Orginal Articles