A Comparative Study of Volar Plate Fixation versus Percutaneous Kirschner Wire Fixation in the Management of Distal Radius Fractures in Adults
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Introduction: Fracture distal radius is the most common fracture treated; more than one sixth of all fractures that we treat are fracture of distal radius, that means 10% to 25% of all fractures seen at an emergency department and constitutes 17% of all the fractures and 75% of all forearm fractures. The distal ends of radius fractures continue to pose a therapeutic challenge.Aims and Objects: to compare the efficacy, functional and anatomical outcome of the volar locking compression plate and percutaneous k wire in the management of distal radius fracture in adults and various complications related to it.Methods: Hospital based study in the department of Orthopaedics, RIMS , Imphal, Manipur, Randomised controlled trial,conducted for a period of 2 years from August 2016 to August 2018.Results:Out of 62 patients, the study showed mean age of incidence to be 44.5 ±11.94 years in age group ranging from 30-65 years. In our study we found that the injuries were result of accidental fall constituting the commonest mode of injury (50%) followed by RTA (45.2%) and others injuries (4.8%). Females constituted the majority of the study population (64.52%). Age, sex, mode of injury, type of fracture, interval to surgery duration and associated co-morbidities were equally distributed between the two groups showing success of randomization. There was a highly significant diference in the operative time and blood loss between two groups, illustating that percutaneous fixation is much shorter procedure with mean operative time of 30 mins compared to 60mins of ORIF with volar locking plate and has less blood loss being 15-20ml to 155-200ml of ORIF with volar plating.Conclusion: ORIF with volar locking plate provide better radiological outcomes with more stable fixation thus lesser degree of loss of reduction in comparison to percutaneous pinning. However, K wiring remains a simple and inexpensive option for simple fracture patterns.
Authors and Affiliations
Sudip Deb, Shubhendu Sekhar, A Mahendra Singh, Nobin Kumar sharma
Keywords
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- EP ID EP552582
- DOI 10.9790/0853-1803012531.
- Views 65
- Downloads 0
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