E-ISSN 2277-338X | ISSN 2320-4664
 

Case Report 


Neglected volar barton fracture treated by two-stage procedure

Saurabh Jain, Anil Kumar Jain, Ish Kumar Dhammi.

Abstract
Malunion following a neglected volar barton fracture can cause severe functional impairment owing to changes in normal anatomic and biomechanical relationships of the distal radius. These malunions, if mature can be treated by intra-articular osteotomies or the salvage procedures. But in nascent malunions, these procedures cannot be performed as the solid bony consolidation is absent and there is severe soft tissue contracture. In the present study, two-stage procedure was presented for the treatment of nascent neglected volar barton fracture presenting after 5 weeks, and treated primarily with gradual distraction and secondarily with open reduction and internal fixation with locked distal radius plate along with bone graft. Complete bony healing occurred in 6 months and Mayo wrist score improved from 31 to 85. At final follow-up after 2 years, visual and analog pain scores reduced from 68 to 11 and range of motion was 80 extension to 70 flexion along with near normal full grip strength along with mild wrist arthrosis. Surgical treatment of neglected fractures of distal radius can substantially improve wrist and hand functions, but rarely restores the limb to normal.

Key words: Neglected volar barton fracture, neglected distal radius fracture, intercarpal distraction, distal radius locking plate


 
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Pubmed Style

Saurabh Jain, Anil Kumar Jain, Ish Kumar Dhammi. Neglected volar barton fracture treated by two-stage procedure. Int J Med Sci Public Health. 2017; 6(1): 214-217. doi:10.5455/ijmsph.2017.18062016558


Web Style

Saurabh Jain, Anil Kumar Jain, Ish Kumar Dhammi. Neglected volar barton fracture treated by two-stage procedure. http://www.ijmsph.com/?mno=234194 [Access: July 18, 2019]. doi:10.5455/ijmsph.2017.18062016558


AMA (American Medical Association) Style

Saurabh Jain, Anil Kumar Jain, Ish Kumar Dhammi. Neglected volar barton fracture treated by two-stage procedure. Int J Med Sci Public Health. 2017; 6(1): 214-217. doi:10.5455/ijmsph.2017.18062016558



Vancouver/ICMJE Style

Saurabh Jain, Anil Kumar Jain, Ish Kumar Dhammi. Neglected volar barton fracture treated by two-stage procedure. Int J Med Sci Public Health. (2017), [cited July 18, 2019]; 6(1): 214-217. doi:10.5455/ijmsph.2017.18062016558



Harvard Style

Saurabh Jain, Anil Kumar Jain, Ish Kumar Dhammi (2017) Neglected volar barton fracture treated by two-stage procedure. Int J Med Sci Public Health, 6 (1), 214-217. doi:10.5455/ijmsph.2017.18062016558



Turabian Style

Saurabh Jain, Anil Kumar Jain, Ish Kumar Dhammi. 2017. Neglected volar barton fracture treated by two-stage procedure. International Journal of Medical Science and Public Health, 6 (1), 214-217. doi:10.5455/ijmsph.2017.18062016558



Chicago Style

Saurabh Jain, Anil Kumar Jain, Ish Kumar Dhammi. "Neglected volar barton fracture treated by two-stage procedure." International Journal of Medical Science and Public Health 6 (2017), 214-217. doi:10.5455/ijmsph.2017.18062016558



MLA (The Modern Language Association) Style

Saurabh Jain, Anil Kumar Jain, Ish Kumar Dhammi. "Neglected volar barton fracture treated by two-stage procedure." International Journal of Medical Science and Public Health 6.1 (2017), 214-217. Print. doi:10.5455/ijmsph.2017.18062016558



APA (American Psychological Association) Style

Saurabh Jain, Anil Kumar Jain, Ish Kumar Dhammi (2017) Neglected volar barton fracture treated by two-stage procedure. International Journal of Medical Science and Public Health, 6 (1), 214-217. doi:10.5455/ijmsph.2017.18062016558





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