Adolescent Volar Barton Fracture with Open Physis treated with Volar Plating using Buttressing Principle
H Shah1, V Chavali1, R Daveshwar1
1Department of Orthopaedics, Government Medical College, Baroda, India.
Objective:
The objective of the study was to assess the outcome of Salter- Harris type III distal radius fracture fixed using the principle of buttressing and avoiding screw insertion through the physis.
Materials And Method:
Eight school going children in the age group of 11-16 years with volar Barton fractures were treated with a volar plate using the buttress principle without inserting screws in the distal fragment. Patients were evaluated over a period of 18 months. Clinical evaluation was done using the Green O'Brien criteria and radiological evaluation using the Sarmiento criteria.
Results:
The average union time was two months. All the patients had good to excellent functional outcome with full extension and flexion.
Conclusion:
Buttress plating of volar Barton fractures in the adolescent age group is an excellent technique to achieve satisfactory outcome without violation of the physis.
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