A Comparative Study of Functional Outcome of Extra Articular Distal End Radius Fracture Treated with Closed Reduction and Traditional Cast Immobilization Versus Closed Reduction with Percutaneous Pinning in Elderly Age
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 4
Abstract
Introduction: Distal end radius fractures are the commonest fractures occurring in the upper extremity that account for 17% of all upper limb injuries. A review of literature shows unsatisfactory results by usual plaster cast method, with deformity in 60% and unsatisfactory results in 32% of patients. We decided to carry out a study comparing results of traditional cast versus percutaneous pinning in the elderly age group. Material and Methods: A randomized, prospective comparative study was carried out at MIMER Medical College, Talegaon (D) from December 2014 to June 2016. After local ethical committee approval, informed consent was obtained from 60 patients, aged 50 and above with displaced but stable distal end radius extra articular fracture without joint incongruity. 30 patients were subjected to closed reduction and cast immobilization. 30 were subjected to closed reduction and percutaneous K wires. At each followup, X-rays were taken along with clinical examination. Results: We got statistically significant differences in range of motion, VAS scores and loss of radial length between the two groups, showing that the closed reduction K-wire fixation group has better results. This was also seen comparing Saito chart and Lindstrom’s criteria results of both groups. The only significant complication with K-wire fixation is pin tract infection, which resolved after K-wire removal, seen in 13% of patients. Conclusion: Closed reduction and percutaneous K-wire fixation is safer, better and easier technique to maintain reduction in displaced, distal end radius fractures, with minimal complications.
Authors and Affiliations
Shivraj S. Konde, Satvilkar Mohd. Zafer Noor Mohd, Abhijit Marathe, Santosh Borkar, Prashant Kamath
Keywords
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