IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 17, Issue 12 Ver. 4 (December. 2018), PP 15-22 www.iosrjournals.org DOI: 10.9790/0853-1712041522 www.iosrjournals.org 15 | Page “Evaluation of radiological and clinical outcome of volar locking compression plate (VLCP) in fractures of distal end of radius”. Dr. Kamal Kumar Arora 1 , Dr. Rajesh Kapila 2 , Dr. Simranjit Singh 3 , Dr. rakesh sharma 4 , Dr. Pritichaudhary 5 1 Assistant Professor, Deptt. Of Orthopaedics, Govt. Medical College, Amritsar 2 Professor, deptt. Of orthopaedics Gmcamritsar 3 Senior resident, Govt. Medical College, Amritsar 4 Professor, Deptt. Of Orthopaedics GMC Amritsar. 5 Professor &Head, Deptt. Of Anatomy Corresponding Author: Dr. Kamal Kumar Arora Abstract: Distal Radius fractures commonest fractures of the human skeleton. By the usual plaster cast method deformity upto 60% and unsatisfactory results in upto 32% of the patients are reported. Open reduction of the articular surface, stable reduction, restoration of the radial length, volar angulation and radial inclination reduces the frequency of secondary osteo-arthritis and allows early functional rehabilitation. 9 Treatment options include closed reduction and pinning, bridging and non-bridging external fixation and open reduction with dynamic compression plate (DCP), precontoured locking and non locking plates and screw fixation through a variety of approaches. In present study twenty five patients, approaching to a tertiary institute of Punjab, having fracture of distal end of radius grouped as per A. O. Classification were treated by volar locking compression plates (VLCP). The primary outcomes instrument for measuring patients rated hand performance in the patient study was the Michigan hand outcomes feedback form All patients achieved radiological union till six months of follow up and there was no cases of nonunion. Radiologically there was no significant change in fixation in term radial inclination, volar angle, radial height and ulnar variance after postoperative and at six months follow up. Complications noted in present series were, superficial infection in two patients (08%) which was managed with appropriate antibiotics, one patient operated late developed S udeck’s Osteodystrophy, one patient (4%) with inadvertent intra-articular screw placement, which was managed conservatively. Key Words: Distal Radius fracture, volar locking compression plate (VLCP), Sudeck’s Osteodystrophy --------------------------------------------------------------------------------------------------------------------------------------- Date of Submission: 27-11-2018 Date of acceptance: 10-12-2018 --------------------------------------------------------------------------------------------------------------------------------------- I. Introduction Distal Radius fractures commonest fractures of the human skeleton. 1 The percentage of these fractures, well thought-out unstable requiring surgical fixation have been reported to be as high as 40 to 49%. 2,3 Traditionally, the fracture has all along been treated conservatively by closed reduction and POP cast immobilization. The assumption was always been that a good outcome will be achieved whatever may be the facade of reduction. 4 This may be tolerable in the elderly, osteoporotic patients with low demands on the wrist but there is a clear distinction between this group and those with higher demands, with a comportment in mind that these may not necessarily be younger. 5,6 Lafontaine, Hardy and Delince recognized the predictors of instability such as geriatric patients over 70 years, an intra articular fracture, dorsally comminuted, with dorsal angulations more than 20 o , associated ulnar fracture. 7 Distal end radius fractures account for 17% of all upper limb injuries. 8 By the usual plaster cast method deformity upto 60% and unsatisfactory results in upto 32% of the patients are reported. Open reduction of the articular surface, stable reduction, restoration of the radial length, volar angulation and radial inclination reduces the frequency of secondary osteo-arthritis and allows early functional rehabilitation. 9 The volar locking compression plate (VLCP) can provide a safe and effective implant for treatment of dorsally displaced fractures of distal radius. 20 The present study is proposed to evaluate the end result of locking compression plate in treatment of fractures of distal end of radius. Treatment options include closed reduction and pinning, bridging and non-bridging external fixation and open reduction with dynamic compression plate (DCP), precontoured locking and non locking plates and screw fixation through a variety of approaches. 10 New concept of biological osteosynthesis with new implant such as volar locking compression plate (VLCP) is introduced. 11 Locking minimizes the compressive forces exerted by the plate on the bone. Precise anatomical contouring of a plate is no longer compulsory. This prevents the loss of primary reduction of fracture fragments caused by inadequate contouring of a plate. 12 It also