Keywords : Articular distal radius fractures open versus closed reduction
COMPARISION OF FUNCTIONAL OUTCOMES IN INTRAARTICULAR DISTAL RADIUS FRACTURES MANAGED EITHER BY OPEN REDUCTION VS CLOSED REDUCTION
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 2882-2896
Background: To assess and compare the functional outcomes after 1 year in intra articular distal radius fractures - open versus closed reduction.
Materials and Methods: Observational study carried out at Narayana Medical College and hospital. All patients who have reported to the department of orthopedics in Narayana Medical College, Nellore and its allied hospitals.
Results: Majority of the patients (80.5%) who underwent plating were noted to be less than 50 years of age and more than half of the patients (58.3%) who had undergone closed reduction belonged to the age group of above 50. As per the DASH scores, among the patients who had undergone open reduction and plating, 28 (68.29%) patients had excellent outcomes, 6 (14.63%) had good outcomes and 7 (17.07%) had fair outcomes. None of the patients as such had poor outcomes. In patients who had undergone closed reduction, 18 (50%) of the patients had excellent outcome, 2 (5.55%) had good outcome, 15 (41.66%) had Fair outcomes and 1 (2.77%) patient had a poor functional outcome.
Conclusion: Open reduction will give better functionality in patients with articular fractures when compared with closed reduction as per the DASH and Mayo scoring.