Outcome of Volar Barton Fractures Treated with Locking Compression Plates: A Cross-Sectional Study: Volar Barton Fractures Treated with Locking Compression Plates

Ahmed  Raza Laghari; Sijad  Ahmed Mahar; Hussain  Bux Palh; Waseem  Ahmed; Ali Muhammad  Bhutto; Farukh  Hussain; Niaz Hussain  Keerio

doi:10.54393/pjhs.v3i05.178

Authors

Ahmed Raza Laghari Orthopaedics, Ghulam Mohammed Mahar Medical College / Civil Hospital Sukkur Pakistan
Sijad Ahmed Mahar Department of Orthopaedics, Ghulam Mohammed Mahar Medical College Sukkur, Pakistan
Hussain Bux Palh Department of Orthopaedics, Gambat Medical college Pir Syed Abdul Qadir Shah Jellani Institute of Medical Science GIMS Gambat, Pakistan
Waseem Ahmed Department of Orthopaedics, Muhammad Medical College and Hospital Mirpurkhas, Pakistan
Ali Muhammad Bhutto Department of Orthopaedics, Ghulam Mohammed Mahar Medical College / Civil Hospital Sukkur, Pakistan
Farukh Hussain Department of Orthopaedics, Jinnah Postgraduate Medical Center, Karachi, Pakistan
Niaz Hussain Keerio Department of Orthopaedics, Muhammad Medical College and Hospital Mirpurkhas, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v3i05.178

Keywords:

locking compression plates, open reduction and internal fixation, volar Barton fracture.

Abstract

Volar Barton fracture is the fracture of distal radius bone associated with ventral displacement. It is an oblique intra-articular fracture. Objective: To investigate the results, both functional and radiological, of open reduction and internal fixation with locking compression plates of the volar Barton fracture. Methods: A total of fifteen patients were included in this study. All of the participants had volar fragment type B3 fractures of the wrist. All the patients underwent open reduction to treat the fracture. Internal fixation was done using a locking compression plate (LCP). Out of a total of 15 patients, 10 were male and 5 females. The most common cause, almost 67 %, of the fracture was a road traffic accident (RTA). The mean age of the patients was 33 years, ranging from 21 to 55 years. All the patients had their respective surgeries within 7 days of the fracture accident. Quick Dash score-, and Gartland and Werley score were used to assess the function of the hand and wrist. Results: All the fractures took the meantime of 8 weeks for the bone union. The mean Quick Dash score was 10, ranging from 0 to 60. According to Gartland and Werley’s score, 9 patients were excellent, 4 patients were good and 2 were fair. No postoperative complication occurred. Conclusions: Open reduction and internal fixation with locking compression plates of the volar Barton fracture is an effective treatment for functional and radiological restoration.

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