COMPARATIVE STUDY OF FUNCTIONAL OUTCOME IN PATIENT WITH FRACTURE OF DISTAL END RADIUS TREATED EITHER CONSERVATIVE OR WITH–K WIRE FIXATION

Abstract

Background: One of the most common upper extremity fracture are the distal end radius fracture. A very complex injuries with a variable prognosis has seen in distal end radius fractures are well recognized. This type of fracture usually results from low Energy trauma in the elderly patients.
Method: In present study, 90 cases of both extra articular and intraarticular distal end radius fracture between age 20 to 65 years treated with closed reduction and cast and closed reduction with K wire fixation+ cast, it is a prospective study conducted at Gandhi medical college& associated Hamidia Hospital Bhopal between 2018 - 2020.
Results: The most common mode of injury was fall on outstretched hand (FOOSH)(65%), with male preponderance ( 60%) and right side more common in both the group. In both the group average age was 45.90±10.16 year. According to Frykman classification Frykman type 1 was more common in both the group. Higher complications seen in closed reduction with cast group. According to Quick DASH score results found in closed reduction with cast7 patient had excellent , 20 patient had good , 13 patient had fair and5 patient had poor results. In closed reduction with percutaneous K-Wire with cast 10 patient had excellent results , 24 patient had good , 9 patient had fair , 2 patient had poor results .
Conclusions: A minimally invasive technique Percutaneous K wire pinning, that provides an effective means of Maintaining the anatomical fracture reduction. Highly skilled personnel or sophisticated tools for Application usually doesn’t required. It is a suitable method for fixation of displaced distal end radius fracture with minimal intra-articular Involvement. Therefore in group closed reduction with K-wire with cast had less complications and with better functionally as well as radiological outcome as a conclusion.
Keywords: Distal Radius fracture, Close reduction, Percutaneous Kirschner wire fixation, Plaster immobilization , Distal end extra and intra articular radius fracture, FOOSH