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Case Report

Bilateral Osteopenic Volar Barton Fracture of Lower End of Radii

R.B. Uppin* , R.B. Uppin* , Mahesh Hosamane**

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Journal of Orthopedic Education 3(1):p 123-126, January - June 2017. | DOI: DOI: http://dx.doi.org/10.21088/joe.2454.7956.3117.23

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Abstract

A 35 years old male, farmer by occupation, patient had a trivial fall from a motorcycle and sustained injury to both the wrist joints, diagnosed to have a Bilateral closed distal end intra­articular radius fracture (volar Barton), our patient had osteopenia on DEXA study, patient was treated with ORIF with volar lock plating and Umex external fixators with K­wire fixation on the left side. Patient regained full range of movements in both the wrist joints. Discussed the results of ORIF locked plating and closed reduction U­MEX external fixator with K­Wire fixation. Case Report: A 35year old male farmer by occupation came to the casualty with the history of fall from a motorcycle (trivial injury) and sustained injury to both the wrists, on examination had swelling over wrist and hand but no open wounds and no neurovasular deficits, preoperative radiographs diagnosed to have bilateral volar barton fractures . On DEXA examination patient had a T­Score of ­2.0 , categorising him as an osteopenic. Treated with Open reduction & internal fixation with titanium locked plating on right side, Closed reduction UMEX external fixator followed by percutaneous K­wire fixation on left side. Patient was put on Calcium supplements daily 500mg for 6 months and vitamin D3 60k IU once a week. Right wrist was mobilised after a week of operative intervention and left wrist mobilised after 6 weeks, patient regained normal range of movements .

Keywords: Fracture of Lower End of Radius; Volar Barton; Dorsal Barton; U­MEX External Fixator; Percutaneous K­Wire Fixation.

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DOI: DOI: http://dx.doi.org/10.21088/joe.2454.7956.3117.23

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