A clinical study of various management techniques in distal end radius fractures in adults
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Objectives: The present study was conducted to evaluate the functional outcome of distal radial fractures in adults with surgical treatment using closed reduction and K-wire fixation, external fixation with or without K-wire augmentation and assess the complications of various surgical procedures done for distal radial fractures. Material and Methods: A prospective study was carried out on 20 adult patients with distal radial fractures. The fracture fragments were analysed and involvement of radio-carpal and distal radio-ulnar joints were assessed and classified according to the Frykman’s classification Regular follow up was done at an interval of 6 weeks, 3, 6 and 12 months. The follow up ranged from 5 to 12 months. The results were assessed at 3 months after the procedures. Results: The functional outcome evaluated using the demerit score system of Gartland and Werley based on objective and subjective criteria and residual deformity, we achieved excellent results in 4 (20%) cases, good results in 12 (60%) cases, fair results in 3 (15%) cases and poor result in 1 (5%) case. Conclusion: Surgical management of distal radial fractures, regardless of the type of fixation, produced excellent to good results with proper pre-operative evaluation, selection of the method based on fracture pattern, reducibility, stability and quality of bone, early fixation, proper wound and pin site care, early post-operative rehabilitation and patient education. Mal-union should be avoided by proper selection of implant and procedure, early reduction and fixation, better surgical skills.
Authors and Affiliations
Dr. Jagadeesh Babu Somesula, Dr. Malleswara Rao Perumalla Venkata Naga
Keywords
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- EP ID EP499898
- DOI 10.22271/ortho.2017.v3.i3i.97
- Views 92
- Downloads 0
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