A Study of Unstable Distal Radius Fractures Treated by Percutanoeus Techniques

Daddamani, Ravi M.; P. D., Sunil Kumar
April 2014
Indian Journal of Public Health Research & Development;Apr-Jun2014, Vol. 5 Issue 2, p270
Academic Journal
Fractures of distal radius constitute one of the common skeletal injuries treated by orthopaedic surgeon. These injuries account for one sixth of all fractures evaluated in emergency room. The optimal method of obtaining and maintaining an accurate restoration of distal radius anatomy remains a topic of considerable controversy. In this study 45 cases of unstable distal radius fractures were classified according to Frykman's classification after obtaining anteroposterior and lateral radiographs of the wrist. These were randomly grouped into three groups based on treatment modality; 1. Percutaneous K wires and cast 2. External fixation 3. External fixation augmented by K wires These three groups were followed for a period of average 3 years. Functional assessment was done according to Gartland and Werley (1951) and results are 1. Patients treated with K wires had 10 excellent, 2 fair, 8 good and 0 poor results. 2. Patients treated with external fixator had 1 excellent, 2 fair, 9 good and 1 poor results. 3. Patients treated with external fixator with K wires had 0 excellent, 3 fair, 8 good and 1 poor results. Functional outcome and Anatomical outcome were better in patients treated with K wires than with external fixator and external fixator augmented with K wires.


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