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Purpose: A study evaluating the clinical and functional outcome of open reduction and internal fixation with volar plating followed by early mobilization in reverse Barton’s fracture of distal radius. Method: 43 adults patients operated for distal radius reverse Barton’s fracture (Muller AO classification type 23 B3) were studied and functional outcomes were assessed using the DASH scoring system. Result: Functional outcome was excellent in 29 (67%), good in 11 (26%) and fair in 3 (7%) accoridng to patient rated DASH score. Patients who obtained excellent and good results, had no residual deformities or pain. Complication occurred in 4 (9%) cases of which 2 (4%) had joint stiffness, 1 (2%) had superficial infection and 1 (2%) developed median nerve neuropathy for which plate was removed. Conclusion: Reverse Barton’s fracture of the distal radius has excellent functional outcome with open reduction and internal fixation with volar plate. Anatomical reduction and early mobilization improves the outcome significantly.

Evaluation of functional outcome of open reduction and internal fixation with volar plating in reverse Barton’s fracture of distal radius