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Clinical outcome and evaluation of patients with distal end radius fractures operated with volar plate and pronator quadratus repair versus no repair

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Original Article

Author Details : Anand Kaushal, Jaimin Patel, Jenti Katariya*, Sagar Kumar Usdadia, Chintan Kalathia

Volume : 5, Issue : 4, Year : 2019

Article Page : 252-257

https://doi.org/10.18231/j.ijos.2019.050

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Abstract

Introduction: Dista l radi us fracture is the commonest fracture of upper extremity that we found during
emergency or during orthopaedic practice, Now a days volar plating is more commonly perfomed surgery
for the same. During this type of surgical exposure pronator quadrtus muscle is vital structure to come
across and for this separation of muscle from radius must be done but after plate placement there is
controversy regarding the repair of muscle is there. Repair of pronator quadratus muscle after plate fixation
will protect volar flexo r tendon by covering the implant and also helpfull in pronation. Conversely if tight
closure done its lead to ischemic contracture and its lead to limited wrist supination and pronation.
Materials and Methods: This study was conducted on 30 patients having distal radius fractures operated
with volar plating done by trained orthopaedic surgeon at our hospital in B. J. medical college, Civil hospital
Ahmedabad between january 2017 and January 2019. The mean follow- up time was approximately 24
months. A standard volar approach was used and PQ muscle was separted from radius side and repaired
after fracture fixation and were followed up post operatively.
Result: Repair of pronator quadratus after volar radius plate fixation is depends on surgeon choice, here
we have compaired our result with erlier study to evaluate the benefits, outcome and prognosis of patients
post-operatively.
Conclusion: After pronator quadratus repair pain reduced in early postoperative period but pronation
strength in early post- operative rehabilitation period could not be confirmed, And both the patients
give satisfactory and almost similar results with full range of movements and early mobilization. We
recommended to repair PQ muscle to protect flexor tendons.

Keywords: Distal radius fracture, Volar plate, Pronator quadratus, Radius, Ellis plating, Volar barton’s fracture, Buttress plate.

How to cite : Kaushal A, Patel J, Katariya J, Usdadia S K, Kalathia C, Clinical outcome and evaluation of patients with distal end radius fractures operated with volar plate and pronator quadratus repair versus no repair. Indian J Orthop Surg 2019;5(4):252-257

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