ArticleCureus2022
Do Variable Locking Plates Provide Better Functional and Radiological Outcomes in Volar Barton Fractures?
Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 6 citations in OpenAlex.
- Emergency Medicine Management of Distal Radius and Ulna Fractures: Narrative Review.The western journal of emergency medicine · 2026Review
- Clinicoradiological Outcome of Variable Angle Volar Locking Plate in the Management of Distal Radius Fractures.Journal of orthopaedic case reports · 2025Article
- An analysis of clinical application effects of 3d-printed act titanium trabecular intervertebral fusion cage in posterior lumbar interbody fusion (PLIF).Pakistan journal of medical sciences · 2024Article
- Comparison of treatment of volar Barton's fracture with T plate using distal end screws and without distal end screws.Pakistan journal of medical sciences · 2024Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA volar or reverse Barton fracture refers to an intra-articular distal radius fracture that extends out to the volar aspect of the distal radius and there may be subluxation or dislocation in that direction. The overall goal of managing volar Barton fractures is to obtain motion that is pain-free, allow the patient to return to their usual activities, and minimize the risk of development of early-onset arthritis which may cause disability. Though various management options are available, this study deals with the assessment of functional and radiological outcomes of volar Barton fracture fixed with a variable locking plate. MATERIAL AND
methodsA prospective, observational, and hospital-based study was conducted at R. L. Jalappa Hospital and Research Centre, Sri Devaraj Urs Medical College (SDUMC), Tamaka, India, on patients with volar Barton fracture managed with a variable locking plate from the period December 2019 to June 2021. Clinical data were assessed with Disabilities of Arm, Shoulder and Hand (DASH) score, Gartland and Werley demerit criteria, and Sarmiento modification of Lindstrom criteria. Results: Forty subjects with a mean age of 36.43 ± 10.59 years were included in the study. The mean flexion, extension, supination, and pronation were 70.63° ± 3.6°, 74.3° ± 3.64°, 79.83° ± 2.67°, and 76.28° ± 1.99° degrees respectively at the end of six months. Based on Gartland and Werley's outcome, the majority (65%) of the study population was found to have an excellent outcome, 30% had a good outcome and only 5% had a fair outcome. The mean DASH score was 13.98 ± 5.76. According to Sarmiento's modification of Lindstrom criteria, 22 patients had good radiological outcomes, 11 had excellent outcomes and seven had fair outcomes.
conclusionThe study concludes that fixation of volar Barton fractures with variable locking plates has a better role in immediate stability, maintaining anatomic reduction, and early mobilization. It also provides better functional outcomes and a good anatomical reduction.
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