INTRODUCTION Distal radius fracture constituting around 17% of the total skeletal trauma, involving both the elderly and young patients 1in emergency room .Distal end radius fractures, which can be extra or intra-articular. Intra-articular fracture has tendency to loss of reduction , malunion & deformity with conservative 2treatment .An intra-articular step of more than 2 mm inevitably 3leads to osteoarthritis and a functional decit .Recently, it was clinically proved that intra-articular step-off and radial shortening corrected by surgery had improved patient 4outcome. In the past, these fractures were managed with external xation or a combination of limited open reduction, kirschner wire (K-wire) augmentation, and bone grafting. Fixed angle volar plates for the xation of distal radius 5fractures were introduced by Orbay and Fernandez . Open reduction and internal xation (ORIF) using Volar Fixed-Angle plates has also shown to be a valid treatment option for unstable, intra-articular displaced distal radial 6fractures, more so in osteoporotic bones . Volar xed angle locking plates are pre-contoured to the anatomical shape of volar side of the distal radius. The direction of the distal locking screws is xed by the plate design ensures more consistent correction of displacement and maintenance of reduction. This study evaluates the functional & radiological outcome of open reduction and internal xation using xed angle volar locking plate in the management of intra-articular fracture distal end radius. METHOD Twenty ve patients with intra-articular distal radial fractures treated with xed angle locked volar plating at the institute from July 2018 until September 2019 were included for the study with six months follow up. Closed fracture in skeletally mature patients with modied AO type B2, B3, C with less than three weeks old trauma were included in the study. Patients with open fracture , pathological fracture , fracture associated with neurovascular injury,skeletally immature & medically unt were excluded .Permission of ethical committee was obtained. Surgical procedure (Volar approach)-Surgery was performed under appropriate anesthesia i.e. either general anesthesia or axillary or supra clavicular block under tourniquet control. Open reduction and internal xation was done using modied Henry approach between the exor carpi radialis and radial artery. EVALUATION OF OUTCOME The patients were followed up for minimum of 6 months. Functional (Gartland & Werley Scale) and Radiological (Lindstorm criteria) reviews were performed. RESULTS There were 25 patients treated with xed angle volar locking plate system in this study. 22 male and 3 female patients with the average age of 38 year (range 20-60) and right side predilection. The patients were followed up for a period of six months. All fractures were closed and classied according to the AO/OTA classication. The AO classication of the study cases indicated that type C2 (meta physeal multi- fragmentary) was maximum in 13 cases (52%), 5 cases C1 (20%), 4 cases C3 (16%), 2 case B3, 1 case B2. The mean time to union was nine weeks. At the time of nal follow-up (six months) the clinical scoring chart was done according to Gartland and Werley scale. INTRA ARTICULAR DISTAL RADIUS FRACTURES AND FIXED ANGLE VOLAR LOCKING PLATE FIXATION: A PROSPECTIVE STUDY Original Research Paper Dr. Hemeshwar Harshwardhan Professor, Department Of Orthopaedics, JLN medical college & Hospital , Ajmer , Rajasthan . Orthopaedics Background: Intra-articular distal radius fractures still a therapeutic challenge to orthopedic surgeons. With the advent of locking plates, the xation of these fractures has been made better, specically by Fixed Angle Volar Locking Plate. This study investigates the efcacy of these plates using volar approach, functional & radiological outcome evaluated. Methods: This study was conducted at orthopedic department - JLN medical college & associated hospital Ajmer (Rajasthan). Twenty ve patients with closed intra-articular distal radius fractures, with AO TYPE B2, B3, AND C fracture pattern, operated with Fixed Angle Locking Plate xation using volar approach, were included in the study during the period of July 2018 to September 2019, with a minimum follow up of six months, radiological outcome was analysed (Sarmientos modication of Lindstorm criteria) and functional outcome recorded (Gartland and Werley's demerit scoring system). Results: With a mean age of 38.4 years and follow up of three months, the range of movement of the wrist was very satisfactory, and the mean grip strength was 85% of the opposite wrist. Functional parameters by Gartland and Werley showed a signicant improvement in most of the patients during the follow-up period(68% excellent,16% good,16% fair) and Radiological parameters were well maintained (Lindstorm criteria - 60% excellent,29% good,7% fair,4% poor) and The complication rate was less and insignicant. Conclusions: Primary xed angle volar plate xation of intra-articular distal radius fracture provides a stable xation that effective in anatomic realignment, allows early joint motion, owing to its xation strength, thereby better functional & radiological outcomes and minimal complication. ABSTRACT KEYWORDS : Fixed Angle Volar Locking plate, Distal radius, Gartand and Werley, Lindstorm criteria, Wrist Dr. Ashwani Jangir* Post Graduate Trainee,Department of Orthopaedics,JLN medical college & Hospital ,Ajmer *Corresponding Author VOLUME-8, ISSUE-12, DECEMBER-2019 • PRINT ISSN No. 2277 - 8160 • DOI : 10.36106/gjra 144 X GJRA - GLOBAL JOURNAL FOR RESEARCH ANALYSIS Table1: Functional outcome based on GARTLAND & WERLEY SCALE Gartl and and Werley scores in the study, with 68% of patients having good to excellent results. Table2: Anatomical and radiological evaluation using Sarmientos modication of Lindstorm criteria Radiographs and clinical anatomy was analysed as per Sarmientos modication of Lindstorm Criteria. At nal follow-up, the mean volar tilt was 10.8°, radial inclination averaged 19.8° and radial length averaged 11 mm with 60 % excellent result. There were two cases of supercial wound infection that settled well with oral antibiotics. Residual pain, stiffness and deformity were there are about twenty percent of the patients. No case of intra-articular screw placement ,tendon rupture median nerve neuropathy & CRPS was noted. CASE Figure 1-Pre op xray Figure2- Immediate post op xray Figure 3-Follow up xray at 6 month Figure 4- Range of motion at 6 months follow up DISCUSSION In treating intra articular distal radial fractures, the main aim is to achieve and maintain anatomic reduction and get satisfactory motion and rehabilitation. The biomechanical results show that locking volar plates provides signicantly greater resistance to fracture gap motion compared with standard volar plates in a comminuted distal radius fractures7. Fixed-angle volar plates prove stronger under cyclical loading tests and locking screws help in attaining implant stability and in addition, spares the vascularity and 8periosteum. Rozental et al reported patients treated with volar xedangle plating for unstable distal radius fractures, with average 9follow-up period of 17 months. The radiological parameters in this study with volar tilt of 6.7 degrees and radial inclination 20 degrees was about in the same range as Rozental et and and also by Lueng et al. In most cases effective restoration of anatomic alignment was acquired and maintained, along 10 with functional restoration and rehabilitation. In study by chauvan 91% patients treated with volar locking plate had good to excellent outcomes while in our study 81% had well to 12excellent outcome. The overall complication rate in our study was 20%, which is comparable to that reported by Jagodzinski et al in a bicentric 11study on distal radius volar locking plates. They reported a complication rate of 19.6%. In our study, there was no case of screw misplacement because extra care was taken to prevent this complication since it could have resulted in longer uoroscopy time. No complications related to extensor tendons was observed in this study. Similar conclusion was 13,14reached in separate studies by Hakim et al and Othman. This study was a single centric study with limited number of cases and no control group or other modes of xation for comparison. Further analysis and work will help to delineate the strategy in distal radius plating to avoid complications and adverse outcomes. CONCLUSION Present study documents 84% functional and 89% radiological excellent to good results, suggests that stabilizing the fracture fragments with xed angle volar locking plate in the management of the intra articular fractures of distal radius, is an effective method to maintain the reduction till union and prevent collapse of the fracture fragments, even when the fracture is grossly comminuted /intra-articular/unstable and limited complication. So in our opinion, xed angle volar locking plate for treatment of intra articular fracture distal end radius is good method with excellent outcomes. REFERENCES:- 1. Court-Brown, Charles M.; Heckman, James D.; McQueen, Margaret M.; Ricci, William M.; (Iii), Paul Tornetta; McKee, Michael D. (2015). Rockwood and Green's fractures in adults. 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