The effect of pronator quadratus repair versus non-repair after distal radius plating
Keywords:Fracture distal end of radius, pronator quadrates repair, non-repair.
Background: Fracture distal end of radius is the common fractures presenting to orthopaedics. About one-sixth of all fractures presenting to emergency department,constituting upto 15% of skeletal injuries in adults. Various managementoptions available including non-operative and operative procedures. Volar plating is the well-known surgical procedure performed for distal radius fractures. But the need for pronator quadratus repair or non-repair is still debatable. Aims and objective:The purpose of this study was to compare and analyze the functional outcome of fracture distal radius treated by volar plating and pronator quadrates repair versus volar plating and pronator quadrates non-repair.Materials and methods: This retrospective study of 50 patients with distal radius fracture who were admitted and operated in the department of Orthopaedics, at R.L.Jalappa hospital, Tamaka,kolar from January 2018- January 2020. Functional outcome was evaluated using VAS score, wrist range of movements and hand grip strength during follow-up after volar plating at 6 weeks, 3 months and 6 months.Results: Out of 50 patients, 21 patients underwent repair of pronator quadrates (group A) and 24 patients non-repair of pronator quadrates (group B). 5 patients lost for follow-up. There were 31 male and 14 females with mean age of 39.2 years. All the patients were followed up till 6 months. Mean VAS score at 6 weeks was 4 and at 6 months 1.71 in group A, where as in group B at 6 weeks was 5.8 and at 6 months 1.95.The mean grip strength at 6 weeks was 60% and 92% at 6 months in group A, where as in group B 41% and 88% respectively.CONCLUSION – We conclude that repair of pronator quadratus have reduced post-operative pain, good grip strength and good functional range of movements of wrist at early post-operative period when compared to non-repair group. But on long term follow up there was insignificant difference.
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Copyright (c) 2021 Arun Heddur Shantappa, Prabhu Ethiraj, Sachin Chandrakumar Thagadur, Karthik Sendamangalam Jawahar
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