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)

Kapopara, Hardik; Dubey, Vivek; Reddy, R. Bharath; Chandramurthy, Surya; Shahane, Sunil M.; Samant, Ashwin

doi:10.21276/ijcmr.2018.5.6.24

Cited by 1 publication

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“…Significant results were obtained while comparing the Ulnar variance at different postoperative time intervals. Similar results have been reported in the past literature [9,10,11,12] . In another study conducted by Chung PY et al [13] , the mean radial height, radial inclination, radial tilt and ulnar variance measures before fracture reduction were 9.22 mm, 19.08 degrees, −14.67 degrees and 2.83 mm.…”

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confidence: 93%

Radiological assessment of collapse of distal end radius fracture followed by close reduction and cross k wire fixation

Rai¹,

Shukla²,

Bava³

et al. 2022

Int. J. Orthop. Sci.

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Background: Distal end radius fractures are the commonest occurring fractures occurring in upper extremity. They represent one-sixth of all fractures treated in emergency department. The present study was conducted to assess collapse in distal end radius fracture following close reduction and cross K wire fixation using standard AP and lateral radiological parameters of reduction. Materials & Methods: A sample of 40 patients who underwent K wire fixation for unstable fractures of distal radius over a period of 18 months reporting serially to the orthopaedics OPD a single tertiary hospital were included. Results: The mean immediate postoperative volar tilt was 10.08°, while at 6 weeks postoperative, it was found to be 8.91° respectively. The mean immediate postoperative radial inclination was 24.02°, while at 6 weeks postoperative, it was found to be 22.67° respectively. The mean immediate postoperative Ulnar variance was 0.38 mm while at 6 weeks postoperative, it was found to be -0.008 mm respectively. Significant results were obtained while comparing the Ulnar variance at different postoperative time intervals. Collapse in volar tilt after K wire removal was seen in 71.11 percent of the patients. Among these, 1°, 2° and 3° collapse of volar tilt was seen in 31.11 percent, 33.33 percent and 6.67 percent of the patients respectively. Conclusion:The closed reduction and percutaneous K-wire fixation is a least invasive, safer, and effective method to maintain the reduction, prevent significant collapse during healing, and maintain the stability of the distal radio-ulnar joint even when the fracture is grossly comminuted, intra-articular, or unstable.

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