Variables affecting stability of distal radial fractures fixed with K wires: A radiological study

Kurup, Harish; Mandalia, Vipul; Singh, Baljit; Shaju, K.A.; Mehta, R. J.; Beaumont, Adrian

doi:10.1007/s00590-005-0231-0

Cited by 9 publications

(4 citation statements)

References 17 publications

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“…One of the most prevalent fractures in older patients is distal radius fracture, which accounts for about 17% of skeletal fractures 16,17 . Numerous studies have demonstrated that distal radius anatomic repair is important for appropriate functional outcomes [18][19][20] . There is a direct link between functional and anatomical outcomes [21][22][23] .…”

Section: Discussionmentioning

confidence: 99%

Radiological and Functional Outcome of Distal Radius Fracture treated conservatively vs Percutaneous K-wire fixation

Raza¹,

Saleem²,

Chaudhry³

et al. 2021

PJMHS

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Aim: To compare the radiological and functional result of conservatively treated distant radius fractures (manipulation under anesthesia and plaster of paris) versus percutaneous K- wire fixation Study design: Retrospective Duration and place of study: Department of Orthopedic Surgery, The Indus Hospital, Raiwind campus Lahore from July 2018 to August 2020. Methods: The sample size of 100 patients aged between 18-60 years, closed, isolated distal radius fracture were included, and patients with diabetes mellitus, ischemic heart disease, pathological fractures, chronic renal disease, head injury, chronic liver disease, whose Glasgow coma scale was <14, malignancy were excluded. Patients were randomized as A & B by lottery method. They managed with conservative treatment ( manipulation under anesthesia (MUA) and plaster of paris (POP) cast) and K- wire fixation in groups A & B, respectively. Side of the fractured bone, infection, radiological union, and function outcome were recorded. Results: Amongst the total 100 patients in group-A, 32(63.8%) were males, and 18(36.2%) were females, and 35 (70.2%) were males, and 15 (29.8%) were females in Group-B. in group A patients mean age was 38.86.19 years, while patients mean age of the group B was 39.57.36 years. With the conservative method, 45(95.7%), the union rate was while with the K- wire fixation method, the union rate was 48(96%). In group-A, 35(70%) had excellent, 10 (20%) good, 03 (6%) had an average, and 2(4%) poor and in group-B, 40(80%) had excellent, 04 (08%) good, 04(08%) had an average, and 02 (4%) poor functional outcome. Conclusion: In terms of clinical and radiological evaluation, fixation of a distal radius fracture with K-wires has a better outcome than conservative treatment (MUA and POP cast) with a low infection rate and better union and result. Keywords: closed fracture, distal radius, back slab, K-wires

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Section: Discussionmentioning

confidence: 99%

Radiological and Functional Outcome of Distal Radius Fracture treated conservatively vs Percutaneous K-wire fixation

Raza¹,

Saleem²,

Chaudhry³

et al. 2021

PJMHS

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“…We found that distal radial fractures did not suffer significant loss of reduction after removal of wires. We have reported in a previous study [ 15 ] that during the period of wire fixation and before wire removal there is significant loss of these angles. Average loss of radial tilt reported in that study was 4.12°, loss of dorsal tilt was 8.07° and loss of ulnar variance was 3.12 mm.…”

Section: Discussionmentioning

confidence: 99%

Late collapse of distal radius fractures after K-wire removal: is it significant?

Kurup

Mandalia

Shaju

et al. 2008

J Orthopaed Traumatol

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BackgroundThe aim of this study was to find out whether distal radius fractures treated by Kirschner wire (K wire) fixation loose reduction after wire removal and analyze the variables may influence this.Materials and methodsPatients who underwent K wire fixation for unstable fractures of distal radius over a period of 3 years were included in this retrospective study. Fractures were classified according to AO classification. Radiographs taken just prior to removal of K wires and radiographs taken at least 1 month after wire removal were analyzed to study three radiological parameters; Palmar or dorsal tilt, radial inclination and ulnar variance. Loss of these angles was analyzed statistically against variables like age, sex, AO classification and duration of fixation.Results59 fractures were analyzed with mean age of 56 years and male to female ratio of 1:2. Average loss of radial tilt was 2.6°, loss of palmar tilt was 2.6° and loss of ulnar variance was 1.3 mm.ConclusionsWe found that distal radius fractures treated by percutaneous K wire fixation, did not suffer significant loss of reduction of fracture position after removal of wires. This remains true regardless of age, sex, fracture type according to AO type or duration of wire fixation.

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“…Kreder" et al, An increase in the incidence of distal end radius fractures has been connected to ageing, which is linked to all of the risk factors for osteoporosis. A prospective study that took place over the course of two years and involved 113 patients indicated that external fixation and percutaneous pinning fixation were superior to the more traditional method of immobilisation using casts [5] . Herzberg et al discovered that the thickness of the volar cortex was greater than that of the dorsal one.…”

Section: Methodsmentioning

confidence: 99%

Management of extra-articular distal radius fracture treated with plaster and percutaneous pinning

Akbar¹,

Sathyanarayana²,

Gopinath³

et al. 2023

Int. J. Orthop. Sci.

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A break in the distal radius is among the most common types of bone fractures. These fractures manifest themselves at the wrist, which is where the radius bone comes to an end. However, there has been no consensus reached regarding the proper manner in which these injuries should be defined, treated, or evaluated (1) . An effective method to restore articular congruity following a distal radius fracture was to use a volar approach, indirect reduction, and locked plate fixation. Methods: An extensive search of all materials related to the topic was carried out in the PubMed and Google Scholar search engines. Relevant research articles focusing on "Management Of Extra -Articular Distal Radius Fracture Treated With Plaster And Percutaneous Pinning" published in the period 1999-2019 were included in the review. A total of 11 studies similar to the current study objectives were included in the study and analyzed. Conclusion:As reviewed the literature, Patient has better outcome in range of motion and less stiffness in percutaneous pinning compared to plaster immobilization group. Functional outcome and radiological outcome is better in percutaneous pinning compared to plaster immobilization.

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Variables affecting stability of distal radial fractures fixed with K wires: A radiological study

Cited by 9 publications

References 17 publications

Radiological and Functional Outcome of Distal Radius Fracture treated conservatively vs Percutaneous K-wire fixation

Radiological and Functional Outcome of Distal Radius Fracture treated conservatively vs Percutaneous K-wire fixation

Late collapse of distal radius fractures after K-wire removal: is it significant?

Management of extra-articular distal radius fracture treated with plaster and percutaneous pinning

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