DOI: 10.36347/sasjs.2022.v08i01.003

Pages: 10-14

Introduction: Volar Barton’s fracture is a common problem among the distal radius fracture. Shearing fractures may involve the Volar articular margin is a displaced and inherently unstable fracture that may lead to pain, deformity, limited range of motion, and loss of hand function. In clinical practices, various methods are used for the management of Volar Barton’s fractures. The Volar buttress plate technique is now mostly chosen for the management of this type of fracture. The aim of the study was to observe the functional outcome of treating a Volar Barton’s fracture of the distal radius using a buttress plate. Methods: This prospective interventional study was carried out in the Department of Orthopaedic Surgery, BSMMU, Shahbag, Dhaka for the duration of 2 years 6 months (March 2014 to September 2016). Within this period 30 patients of Volar Barton’s fracture were selected as per inclusion and exclusion criteria who are admitted in this institution. After proper evaluation of these patients, open reduction and internal fixation were done with Volar locking buttress plate. Result: In this study, out of 30 patients 77% were male and 23%were female where the mean age was 32±9.3 and maximum incidence was between 18-39 years. Left side involvement was more 63% (19 patients) than right side involvement at 37% (11 patients). 7% of patients were found with superficial skin infections and treated non-operatively. In the final follow-up, 6.7% were obtained excellent scores, 73.3% were obtained good scores and 20% were obtained fair scores on the basis of anatomical outcome. Conclusion: The Volar buttress plate is found an effective technique of fixation. The Volar locking buttress plate maintained articular congruity, radial length, and alignment. The significant functional outcomes were observed at end of the final follow-up (24 weeks).