A study of complications and outcome of acute fractures of lower end of radius
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 2
Abstract
Introduction: In the era of civilization, the frequency of fractures of the lower end and radius seems to be increasing. The probable causes for increased frequency of fractures are rapidly increasing rate of road traffic accidents, growing industrialization and lazy fair attitude in the patients. The incidence of comminuted intra articular fractures in younger patients is the resultant of high energy trauma whereas in the elderly patients the fracture occurs with the low energy. Aims and Objectives: To Study of Complications and Outcome of Acute fractures of lower end of Radius. Methodology: For the present study 103 followed cases of colles’ fractures were studied. Out of these 87 cases were treated by below elbow plaster cast in pronation with wrist in either of following positions. Dorsiflexion, Neutral, Palmarflexion. These cases formed the man bulk of the study and were studied in detail. Remaining 16 cases were treated by various methods like above elbow plaster cast, external fixator and ‘k’ wire fixation. These cases were studied in short. The movement were measured with the help of goniometer. Finally all the assembled data was evaluated as per point system of Mc. Bride popularized by Gartland and werley and modified by sarmiento. This point system was modified in this study to bring the score to 100, so that the results are uniform as in conventional treatment. Result: Type II injuries were more frequent [41.37%] than any other type. The type V injuries were next in frequency [14.94%].Satisfactory results (Good and Excellent) were seen in 71.26% of patients. The satisfactory results were almost comparable in each wrist position except slightly better position in neutral group.24.13% patient had normal wrist appearance and 41.37% had prominence of ulnar styloid. There was displacement of fracture (especially the volar angle) in the plaster cast. The most important complication was the residual pain in 59.77% patients. Conclusion: Immobilization after reduction of colles’ fracture in various wrist position of below cast gives identical results. However, the stiffness of the hand is significant in the wrists treated by plaster cast in palmarflexion. Hence it is advisable to select the position of the wrists either in neutral or dorsiflexion. Among these position the probable choice would depend on the stability of the fracture after reduction.
Authors and Affiliations
Sanjay S More, Rahul N Bade
Keywords
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