Functional Outcome of Surgically Treated Intra-Articular Distal Radius Fractures Using Volar Locking Plate: A Prospective Study (Code-T0279)

Introduction: Intra-articular distal radius fractures are common injuries that often require surgical intervention for optimal functional recovery. The use of volar locking plates (VLP) has gained popularity for stabilizing these fractures, allowing for early mobilization and potentially better functional outcomes. This study evaluates the functional outcomes of surgically treated intra-articular distal radius fractures using a volar locking plate.

Aims and Objective: The primary objective of this prospective study is to assess the functional outcomes, including range of motion (ROM) and grip strength, in patients with intra-articular distal radius fractures treated surgically with a volar locking plate. Secondary objectives include evaluating complications, radiological outcomes, and patient satisfaction.

Methods: A total of 50 patients with intra-articular distal radius fractures were enrolled in this study and treated with volar locking plates. Functional outcomes were evaluated using the Modified Mayo Wrist Score (MMWS) and DASH (Disabilities of the Arm, Shoulder, and Hand) score. Radiological assessments of fracture healing and alignment were performed at regular intervals. Follow-up assessments were conducted at 6 weeks, 3 months, and 6 months post-surgery.

Results: At 6 months post-surgery, 85% of patients achieved excellent to good functional outcomes, with significant improvements in ROM and grip strength. Radiological outcomes showed satisfactory fracture healing in 90% of cases. Complications, including mild hardware irritation, were reported in 4% of patients.

Conclusion: Surgical treatment of intra-articular distal radius fractures using a volar locking plate provides excellent functional outcomes, with significant improvements in wrist mobility and strength, along with a low complication rate.

Keywords: Distal radius fractures, Volar locking plate, Functional outcome, Intra-articular fractures, Wrist surgery, Prospective study.