Closed Reduction, Percutaneous Kirschner Wire Fixation and Cast Immobilisation of Distal Radius Fracture- A Prospective Observational
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 6
Abstract
Background: Distal radius fractures are the most common type of orthopedic fracture. Some orthopedic surgeons prefer treatment by manipulation and plaster immobilization. Majority recommend operative intervention as the only methods to obtain anatomical reduction, and some have proposed that the best functional result will only be achieved by obtaining as near an anatomical radiographic result as possible. Objectives: To study effectiveness of Kirschner wire fixation with and cast immobilization for patients with fracture of the distal radius. Methodology: About 54 patients with with displaced fractures of the distal third of the radius with or without ulnar fractures were managed by closed reduction and percutaneous Kirschner-wire fixation. Interventions Kirschner wire fixation: wires are passed through the skin over the dorsal aspect of the distal radius and into the bone to hold the fracture in the correct anatomical position. After reduction and fixation the arm was immobilized in a cast above the elbow with the forearm and wrist in neutral position. Kirschner wire was removed after six weeks, followed by support with a wrist splint. Results: The majority patients with distal radial fracture were men (75.9%). Majority of the patients (72.2%) sustained the injury due to fall. The side of involvement was more on right side (57.4%). Their average age was 29.3 years (18- 63 years). Antegrade intramedullary Kirschnerwire fixation was done for distal radial fractures in 70.4% of cases. Patients were evaluated clinically and radiologically after an average duration of follow-up of 9 months (due to time constrain for the study). In our study, according to AO classification, 29 cases were of Type A, 12 were of Type B and 3 were of Type C. The Anatomical evaluation by Sarmiento’s Criteria showed 20 (37.03%) patients with excellent, 14 patients with good, 8 with a fair and 2 with a poor result or outcome respectively. At final follow-up by ‘The Gartland & Werley Criteria for Functional Outcome’ 27 patients had excellent result, 12 had good result, 4 had fair result and 1 had a poor result. Conclusion: This study demonstrates that percutaneous Kirschner wire pinning and cast immobilization is a minimally invasive technique that provides an effective means of maintaining the anatomical fracture reduction for distal radius fracture. The technique involves a minimal procedure that provides anatomic reduction, fracture fixation, and maintenance of reduction with an adequate method of immobilization
Authors and Affiliations
Abhishek Kalantri
Keywords
Related Articles
- EP ID EP522036
- DOI -
- Views 50
- Downloads 0
To Study the Knowledge, Attitude and Practices Regarding Antenatal Care among Pregnant Women in Haldwani Block, District Naintal (Uttarakhand) India
Appropriate antenatal care (ANC) is one of the pillars of this initiative. Antenatal care is considered as a backbone of obstetrical services of any health of pregnant women and is the way in which maternal and fetal com...
Bone Mineral status in newly Diagnosed Hyperthyroid Patients
Hyperthyroidism is a common disorder affecting a large group of population and is a cause of the osteoporosis. Bone homeostasis abnormalities in patients with hyper thyroidism causes alteration in serum calcium and phosp...
Role of Fetal MRI in detection of CNS anomalies
Context: Congenital malformation is a stimulating problem for research. The commonest of these are CNS anomalies (1). The abnormalities detected on Ultrasound may at times be very subtle or inconclusive. In such cases, s...
To assess awareness regarding Diabetes Mellitus and factors affecting, in a tertiary care teaching hospital of Agra
Introduction: It is important to know about the awareness level of a disease condition in a population, which plays a vitole role in future development, early detection and prevention of disease. Objective: To Assess awa...
Spectrum of Bacterial Conjunctivitis and Their Drug Sensitivity (Efficacy) Pattern, in the Patients Attending in Tertiary Care Hospital at Muzaffarpur, Bihar
Objective: Conjunctivitis is the most common disease of conjunctiva which occurs by exogenous or endogenous source. Bacterial conjunctivitis is the most common type of this infection for which empirical treatment is star...