Radiological Comparison of Palmer and Dorsal Flexion Cast Immobilization Technique of Extraarticular Distal Radial Fractures
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2013, Vol 25, Issue 01
Abstract
To compare the radiological outcome of palmar flexion with dorsiflexion position of immobilization of the wrist in extraarticular distal radial fractures. Material and Methods:The study was conducted in the department of orthopedics and trauma, Hayatabad Medical Complex, Peshawar, from 1st Aprill 2010 to 1st October 2010. Both sexes in the age range of 20-60 years with closed extra articular distal radius fractures with the distal fragment displaced dorsally and presenting within 96 hours of trauma to the orthopedic department were included while patients having intra articular fractures,open fractures and poly trauma patients were excluded from the study. All the fractures were conservativelly treated by closed reduction and cast immobilization of the wrist in dorsiflexion or palmar flexion. The patients were followed for a period of 6 weeks after cast application. Results:All the patients were in age ranged 20-60 years with mean age 35 years. Twenty seven (31%) patients were male and 59(69%) patients were female. 24 patients (28%) had fracture of the dominant hand while 62 patients (72%) had fracture of the non-dominant hand. 43 (50%) patients had dorsiflexion while 43(50%) patients had palmar flexion postion of wrist mobilization. At the final follow up, 39 patients ( 90.7%) of DF group had excellent to good results as compared to 35 patients (81.4%) in the PF group ( p value = .00). Conclusion: The radiological results are better in fracture lower end of radius if the wrists after reduction are immobilized in dorsiflexion as compared to the conventional palmer flexion immobilization.
Authors and Affiliations
SHAMS UR REHMAN, MUHAMMAD SHOAIB, MUHAMMAD SIRAJ, MALIK JAVED IQBAL
Keywords
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