Clinical and functional outcomes of three column fixation in distal end radius fractures
Saurabh Dahiphale
, K.N. Ghorpade , Dhanraj Game , Ankit Singh , Shikhar Tripathi
distal radius fracture; three-column fixation; functional outcome
Abstract
Background: Distal end radius fractures are among the most common upper limb fractures and often require surgical intervention to restore anatomical alignment and functional wrist mechanics. Three-column fixation has emerged as a biomechanically favorable technique for managing unstable and intra-articular fracture patterns.
Aim: To evaluate the clinical and functional outcomes of three-column fixation in distal end radius fractures.
Materials and Methods: This prospective observational study included 50 patients with distal end radius fractures treated using three-column fixation. Patients aged ≥18 years meeting inclusion criteria were enrolled after informed consent. Clinical data, fracture characteristics, radiological parameters, pain scores (VAS), wrist range of motion, union time, and postoperative complications were recorded. Functional outcomes were assessed at 3 months. Statistical analysis was performed using paired t-test and chi-square tests where appropriate.
Results: The study population predominantly comprised males (64%) and middle-aged adults. Falls accounted for 48% of injuries. A significant reduction in VAS pain scores was observed from 8.9 ± 0.8 preoperatively to 1.9 ± 1.1 at 3 months (p < 0.001). Functional assessment demonstrated excellent to good outcomes in 80% of patients. Most fractures united within 8–10 weeks, and the complication rate was low, with stiffness being most common.
Conclusion: Three-column fixation provides satisfactory radiological union, significant pain reduction, and favorable functional outcomes in distal end radius fractures with minimal complications.
"Clinical and functional outcomes of three column fixation in distal end radius fractures", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.11, Issue 1, page no.b138-b143, January-2026, Available :https://ijsdr.org/papers/IJSDR2601115.pdf
Volume 11
Issue 1,
January-2026
Pages : b138-b143
Paper Reg. ID: IJSDR_306996
Published Paper Id: IJSDR2601115
Downloads: 000201
Research Area: Humanities All
Country: Latur , Maharashtra, 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
