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FUNCTIONAL OUTCOME OF VOLAR BARTON FRACTURES TREATED WITH T PLATE THROUGH VOLAR APPROACH

Dr. Asghar Ali, Dr. Kashif Raza Khan, Dr. Tallal Ahmad Lodhi

Objective: To assess the functional outcome of volar Barton fractures treated with T plate through volar approach. Material and methods: This case series study was conducted at Department of Orthopedic Surgery, Sheikh Zaid Hospital Rahim Yar Khan from November 2018 to May 2019 over the period of 6 months. Total 86 patients with volar borton fractures (within 1 week of fracture), both sex having age from 20-60 years were selected. After selecting patients, T plate through volar approach was fixed by senior consultant orthopedic surgeon having 5 years experience. After 3 month functional outcome was measured by using Pattee and Thompson criteria Results: Total 86 patients with volar Barton fractures were selected for this study. Mean age of the patients was 34.14 ± 10.95 years and mean duration of fracture was 2.35 ± 1.37 weeks. Functional outcome was excellent in 39 (45%) patients, good in 26 (30%) patients and fair in 21 (25%) patients. Satisfactory functional outcome was noted in 65 (76%) patients and unsatisfactory outcome was noted 21 (24%) patients. Conclusion: Results of this study showed higher rate of satisfactory functional outcome in cases of volar Barton fractures treated with T plate through volar approach. There was significant association of age, duration of fracture, diabetes mellitus and education with functional outcome but insignificant association between gender and functional outcome was noted. Key words: Fracture fixation, internal; fractures, functional outcome, distal, radius

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