Our Experience Indistal Radius Fractureswith Percutaneous Pinning and Plaster in Postmenopausal Women as a Day Care Procedure
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Background: Fractures at the distal end of radius accounts for around 18 to 20% of all skeletal fractures occurring in adults and around 19 % of all fractures in the postmenopausal females1 . The risk factors in this age group are generalized osteoporosis due to hormonal changes,underlying systemic disease, long term steroid intake2 etc. Aim:The aim of the study is to provide a pain free wrist and early restoration of activities of daily living with distal radius fracture in postmenopausal femalesas a day care procedure. Materials & Methods:In a prospective study, 20 patients with distal radius fractures were treated with the percutaneous pinning and plaster from July 2014- Dec 2015.All patients were evaluated with radiographs in anteroposterior andlateral views. All these fractures were closed. According to AO Classification 7 there were Type A2 -13 cases; A3-1case;B1-2 and C1-4 cases. There were no any other associated injuries. All fractures were treated with closed reduction, percutaneous pinning and plaster.Follow ups included radiographs, clinical examinations, and recording wrist scores. The functional outcome of patients was assessed by using modified mayo wrist score9. Results: After 18 months of follow up, the average mayo wrist score was found to be 86.53.Complications like reduced range of movements due to stiffness was found in 2 patients. There was no pin site infection,superficial radial nerve palsy and non-union. Conclusion: Our data shows percutaneous pinning with k – wire was found to be a minimally invasive day care procedure meeting the patient demands. The fracture union time on an average is found to be around 6 weeks. The anatomical reduction and radiological parameters are found tobe maintained by crossed pinning providingearly range of motion in wrist joint and successful functional outcome.
Authors and Affiliations
Prof P Kosala Raman, Dr. P. Balamurugan, Dr. V. Ajay karthick
Keywords
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- EP ID EP555665
- DOI 10.9790/0853-1803084045.
- Views 49
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