OUTCOMES OF DISTAL RADIAL FRACTURES TREATED WITH CLOSED REDUCTION AND PERCUTANEOUS PINNING
Dr Rahul Raj
, Dr S L Gupta , Dr Sachin sutar , Dr Bhanu Pratap Rathore
Abstract Background; distal radial fractures account for 16% of all fractures treated in emergency departments, Most of the fractures are effectively treated with closed reduction and immobilization in a plaster cast. Percutaneous pinning provides additional stability and is one of the earliest methods of fixation If segmental or unstable fractures are not treated properly, serious complications can occur. Aim ; Aim of the study to assess the functional and radiological outcome of percutaneous pinning in distal radial fractures. Material and methods: in this Prospective study 40 cases of distal radius fracture taken the parts were painted and draped. The fracture alignment was achieved by traction – counter traction and the reduction confirmed by the image intensifier 1.5 or 2 mm K-wire was passed from the radial styloid crossing the fracture site obliquely to exit the dorsoulnar cortex of the radial shaft. Another K-wire was passed either parallel to the first wire or from the dorsoulnar aspect of the distal radius between the 4th and 5th extensor compartments and directed to engage the volar radial cortex of the proximal fragment. Patients asked to review weekly for pin site inspection and follow up. At the end of four weeks a check X-ray was taken. Results : Cases as per AO classification states that 23 patients had A type fracture, 13 patients had type B pattern and 4 patients had type C fracture. AO classification states that 31% had excellent result, followed by 6% cases who had good result, 5% had fair result, 2.5% had poor result. The association of outcomes with result is significant Conclusions: At final follow-up by the Gartland and Werley criteria for functional outcome‘ 31 patients had excellent result, 6 had good result, 2 had fair result and 1 had a poor result. There were no major complication noted except for pin site infection in 9 cases and pin loosening in 2 cases Kirschner wire fixation is cheaper and quicker to perform.
"OUTCOMES OF DISTAL RADIAL FRACTURES TREATED WITH CLOSED REDUCTION AND PERCUTANEOUS PINNING", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.8, Issue 6, page no.250 - 253, June-2023, Available :https://ijsdr.org/papers/IJSDR2306038.pdf
Volume 8
Issue 6,
June-2023
Pages : 250 - 253
Paper Reg. ID: IJSDR_206938
Published Paper Id: IJSDR2306038
Downloads: 000347094
Research Area: Health Science
Country: Udaipur , Rajasthan , India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
