Evaluation of role of subchondral ulno¬-radial k wire to avert collapse in non-comminuted extra and intra-articular fracture of distal end radius
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2017, Vol 3, Issue 2
Abstract
Background: A prospective study was done in the Department of Orthopedics in D.Y Hospital, Navi Mumbai from October 2015 to February 2017 to evaluate role of subchondral ulno-radial k wire to avert collapse in non-comminuted extra and intra-articular fracture of distal end radius. Methods: All the patients attending OPD and emergency with non-comminuted distal end radius fracture without ulna fracture were admitted and operated in our hospital over a period of 1 year and 6 months. A total of 30 patients were included in our study and fixed with percutaneous k-wires (Bicortical cross) along with a transverse trans ulno-radial k wire directed from distal ulnar metaphysis to distal radius subchondrally, so as to fix DRUJ & maintain ulnar variance and radial height by preventing its immediate as well as late collapse. AO classification for fractures was used and only type A (extra-articular A1& A2), type C (Complete articular C1) were included. Type B (partial articular) was excluded from study. Results: All the 30 subjects (n=30) of fracture distal end radius, were managed by closed reduction and percutaneously fixed bicortical k-wires along with subchondrally placed distal trans ulno-radial k wire. Anatomical evaluation was done according to the Sarmiento’s modification of Lindstrom Criteria. Clinical and functional outcomes were evaluated according to the demerit point system of Gartland and Werley with Sarmiento modification. Conclusion: To accomplish anatomical reduction with DRUJ congruence and neutral to negative ulnar variance along with maintenance of radial height in extra articuar and intra articlar distal radius fracture only k wire fixation is not competent enough and needs augmentation with trans ulnoradial k wire. Trans ulno-radial k wire provides addon to rigid fixation and helps in prevention of early and late collapse thus ensuring better anatomical, functional and radiological outcome.
Authors and Affiliations
Rajendra Butala, Vinit Karn, Kuldeep Jain, Sohrab Ahmed, Udit Kapoor
Keywords
Related Articles
- EP ID EP293870
- DOI 10.18231/2395-1362.2017.0032
- Views 94
- Downloads 0
Abductor weakness in intertrochantric fractures operated with PFN and its management
Introduction Intertrochanteric hip fractures are common with advancing age PFN is now increasingly used to fix unstable intertrochantric fractures however it does not fix greater trochanter Gluteus medius and gluteus min...
Evaluation of different surgical modalities of treatment for various types of nonunion in tibia
Introduction: Non-union is a problem faced by most of orthopaedic surgeons. Tibia is the commonest site of non-union in long bone fracture. Management of non-union has remained a constant challenge .As tibia is subcutane...
Proximal femoral nail v/s Dynamic hip screw in treatment of intertrochanteric fracture femur
Objectives Comparison of operative management and functional outcome of femoral intertrochanteric fractures by dynamic hip screw vs proximal femoral nail implantsMaterials and Methods During 2013 to 2016 50 patients with...
Management of neglected genu valgum by limb reconstruction system
Introduction: Genu valgum or Knock-knees refers to the abnormal coronal alignment in which the leg is shifted away from the midline which is a common deformity in children. While most deformities are physiological and re...
Uncommon dwelling for a common swelling – Myositis ossificans of the foot
The benign swellings in the foot and ankle are very rare in occurrence when compared to the other regions of the body and they may mimic malignant tumours, thereby being a diagnostic and therapeutic challenge. Myositis o...