Evaluation of Fractures of Distal Radius Treated with Joshi’s External Stabilization System and Plaster Cast Application
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 1
Abstract
Introduction: Pattern of distal radius fractures varies from very simple extra articular to complex intra articular fracture and it has been treated by different methods varying from closed reduction with plaster to open reduction with internal fixation leading to variable prognosis. This study was done to assess functional and radiological outcome of JESS application and plaster cast in treatment of distal radius fracture. Materials and methods: 56 patients of distal radius of AO type A, B and C were included in this study. Out of which 19 patients were treated with closed reduction by ligamentotaxis with JESS application and others with closed reduction and above elbow pop cast applied under image intensifier. Follow up was done at 3,6,12 and 20 weeks and functional scoring was done using modified Gartland and Werley Score. Data was statistically analyzed using SPSS version 17. Results: Functional scoring in fixator group was 93.42±6.62 and in plaster group was 88.64±6.78 (p=.01). At 12 weeks radial length 12.05±-4.30mm in fixator group as compare to plaster group was 9.11±3.52 mm was statistically significant (p =.004). Ulnar variance in fixator group was -0.37±-1.81 as compare to plaster group having 0.56±1.81 (p=.04) found significant deference. Superficial pin tract infection (4 cases) and loosening of pin (2 cases) found in 2 patients. Stiffness of fingers was common complication in plaster group. Conclusion: To maintain radial length and ulnar variance JESS is a cost effective technique in treatment of distal radial fracture as compare to plaster cast.
Authors and Affiliations
Narendra Singh Kushwaha, Kumar Shantanu, Dharmendra Kumar, Sudhir Shyam Kushwaha, Shailendra Singh, Nitin Manral, Arun Mishra, Vineet Sharma
Keywords
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