Functional, Clinical and Radiological Outcome of Extra Articular Distal End Radius Fracture in Elderly Patients, Closed Reduction and Cross K-wiring Versus Conservative Management (Closed Reduction and Casting)
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 6
Abstract
Introduction: Fractures of the distal radius constitute one of the common skeletal injuries. This type of fracture usually results from low energy trauma in the elderly with low functional demand. The optimal method of obtaining and maintaining an accurate reduction remains a topic of controversy. Study was done with the aim to evaluate and compare the clinical and radiological outcome in patients with extraarticular distal end radius fractures treated with i.e., closed reduction and cast or with closed reduction, K wires and cast. Material and Methods: This was a prospective study consisting of sixty cases with distal end radius extra articular fracture with age greater than fifty years. The patients were randomly allocated to either closed reduction or closed reduction with percutaneous K-wire group equally. Clinical and radiological assessment was done in subsequent follow ups. Activities of daily life (ADL) were assessed using the demerit point system of Gartland and Wereley. Results: The mean radiological parameters at three months in closed reduction and casting group were-radial length 8.93 mm, volar tilt 4.63 degrees and radial inclination was 19.47 degree. The mean radiological parameters at three months in closed reduction and K wiring group were-radial length 11.33 mm, volar tilt 7.67 degree and radial inclination was 22.87 degree. Conclusion: From our study, we concluded that close reduction with percutaneous K-wire and casting has better functional, clinical and radiological outcome than closed reduction and casting alone.
Authors and Affiliations
Hardik Kapopara, Vivek Dubey, Rajeev B. Reddy, Surya Chandramurthy, Sunil M. Shahane, Ashwin Samant
Keywords
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