Closed Reduction, Percutaneous Kirschner Wire Fixation and Cast Immobilisation of Distal Radius Fracture- A Prospective Observational Study

Kalantri, Abhishek

doi:10.18535/jmscr/v5i6.150

Cited by 2 publications

(2 citation statements)

References 32 publications

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“…The overall infection rate of 14.7% in our study is also supported by Kalantri et al where the overall infection rate was 18% [23]. Koc et al conducted a prospective randomized trial with 104 patients and found an 8.8% incidence of infection for buried K-wires and 10% incidence of infection for exposed K-wire which was not statistically significant as compared to our study where it is 11.5% and 23% incidence of infection in buried and exposed K-wire patients respectively [24].…”

Section: Discussionsupporting

confidence: 91%

Outcome of Buried Versus Exposed Kirchner Wires in Terms of Infection in Fractures of Phalanges and Metacarpal Bones of Hand

Khan¹,

Adil²,

Ain³

et al. 2022

Cureus

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Introduction and objectiveThe fracture of hand bones is very common among manual hand workers and a fractured hand imparts a great effect on a person's productivity both socioeconomically and from a body image point of view. The most common method of hand fractures fixation is with the help of Kirschner wires. Kirchner wires can be inserted in exposed or in buried manner. There are a few studies that provide a comparative analysis of rate of infection between these two techniques. This study aimed to assess the rate of infection in buried versus exposed Kirschner (K)-wires for hand fractures.

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Section: Discussionsupporting

confidence: 91%

Outcome of Buried Versus Exposed Kirchner Wires in Terms of Infection in Fractures of Phalanges and Metacarpal Bones of Hand

Khan¹,

Adil²,

Ain³

et al. 2022

Cureus

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“…Kalantari A et al, conducted a prospective study of 54 patients with displaced fractures of the distal third of the radius with or without ulnar fractures were managed by closed reduction and Percutaneous Kirschner-wire fixation. 15 The authors found that the most common mechanism of injury in the studied cases was fall on outstretched hand. IN this study mode of injury was fall on outstretched hand in 39 patients and RTA in the other 15 patients.…”

Section: Discussionmentioning

confidence: 86%

Management of isolated distal end of radius fracture in pediatric age group: An observational study

Phadke¹,

Allamwar²,

Antrolikar³

2021

Asian J Med Sci

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Background: Fractures of the distal radius are one of the common fractures for which pediatric orthopedic consultations are sought. The usual mechanism of injury is fall on outstretched hand seen following a road traffic accident or fall. Most of these fractures are treated either conservatively or by closed reduction and immobilization in cast. In some cases, internal fixation by K-wiring may be required. We conducted this study to analyzed outcome of distal end radius fracture in pediatric age group who were treated by immobilization alone, by closed reduction and immobilization and closed reduction with internal fixation by K-Wire and immobilization in cast. Aims and Objectives: 1. To analyze outcome of distal end radius fracture in pediatric age group. 2. To study complications in children presenting with distal end radius fracture. Materials and Methods: This was an observational study conducted in the department of orthopedics of a tertiary care medical college. 60 pediatric patients with distal radius fractures and treated either by conservative management or by surgical intervention were included in this study on the basis of a predefined inclusion and exclusion criteria. Gender distribution, mean age and mechanism of injury in the affected cases were analyzed. Patients were treated either by immobilization alone, by closed reduction and immobilization and closed reduction with internal fixation by K-Wire and immobilization in cast. Patients were followed up for 8 weeks. Complications and time for complete union was assessed during follow up visits. Functional outcome was assessed by QuickDash Score. Results: Out of these 60 patients there were 52 (86.66%) males and 8 (13.33%) females with a male to female ratio of 1:0.15. The mean age of affected cases in Boys and Girls was found to be 13.09 +/- 2.93 years and 12.5+/- 3.64 years respectively. Dominant hand was involved in 41 (68.33 %) whereas non-dominant hand was involved in remaining 19 (31.66 %) cases. In 16 (26.67%) patients only casting was required whereas closed reduction and casting was done in 25 (41.67%) patients in remaining 19 (31.67%) patients closed reduction and K-Wire fixation was done. 42 (70%) patients had excellent functional outcome whereas 9 (15%) patients had good functional outcome and 9 (15%) patients were found to have satisfactory outcome. 4 (6.66%) patients developed pressure sores, 1 (1.67%) patient had stiffness and there was 1 (1.67%) case of pin site infections. All these complications were successfully managed by conservative means. Conclusion: Fractures of distal end of radius in pediatric age group can be managed successfully either by immobilization alone or by closed reduction and casting. Internal Fixation by K-Wires may be required in some cases.

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Closed Reduction, Percutaneous Kirschner Wire Fixation and Cast Immobilisation of Distal Radius Fracture- A Prospective Observational Study

Cited by 2 publications

References 32 publications

Outcome of Buried Versus Exposed Kirchner Wires in Terms of Infection in Fractures of Phalanges and Metacarpal Bones of Hand

Outcome of Buried Versus Exposed Kirchner Wires in Terms of Infection in Fractures of Phalanges and Metacarpal Bones of Hand

Management of isolated distal end of radius fracture in pediatric age group: An observational study

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