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Aim of this study was to study the functional outcome in patients with distal radius fractures treated with ORIF with 2.7mm distal radius plates at 6 months using PRWE score. To study how early the patients can resume activities of their daily living and study various complications related to fragment specific fixation. Methodology: It was a prospective study. All the patients underwent open reduction and internal fixation using fragment specific locking plates based on fracture patterns. Patients were followed up regularly up to 6 months post op. Functional outcomes were analyzed after 6 months of fixation using patient rated wrist evaluation score. Results: In our study 84.38% patients were male (n 27) with average age being 38.59 years. Right side was the dominant wrist seen in 56% patients (n 18). Most common mechanism of injury was to road traffic accidents. Average time from injury to surgery was 7.06 days and average PRWE score by the end of 6 months was 16.53. Excellent outcomes were seen in 71.88% patients (n 23), good in 18.75% (n 6). Superficial infection, secondary collapse and stiffness and numbness were most common complications seen in 2 patients each. 31 patients had fracture union within 3 months and 30 patients returned to pre injury level of activities within 6 months. Conclusion: We conclude from our data that among various fixation methods, fragment specific fixation provides stable and reliable fixation with good functional outcomes as shown by excellent PRWE scores.

Functional outcome in patients with distal radius fractures treated with fragment specific fixation at tertiary care teaching hospital