Volar Locking Plates Versus K-Wire Fixation of Dorsally Displaced Distal Radius Fractures—A Functional Outcome Study

2012 ◽  
Vol 2012 ◽  
pp. 124-125
Author(s):  
M.F. Swiontkowski
Keyword(s):  
Functional Outcome ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Outcome Study ◽  
Locking Plates ◽  
Radius Fractures ◽  
Wire Fixation

Volar Locking Plates Versus K-Wire Fixation of Dorsally Displaced Distal Radius Fractures—A Functional Outcome Study

2011 ◽  
Vol 70 (6) ◽  
pp. E125-E128 ◽  
Author(s):  
Peter Hull ◽  
Njalalle Baraza ◽  
Milesh Gohil ◽  
Helen Whalley ◽  
Cyril Mauffrey ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Outcome Study ◽  
Locking Plates ◽  
Radius Fractures ◽  
Wire Fixation

scholarly journals Functional outcome of volar locking plate for unstable distal radius fractures

2018 ◽  
Vol 8 (3) ◽  
pp. 38-44
Author(s):  
Bishnu Dev Sharma ◽  
Akesh Prajapati ◽  
Ananda Prasad Regmi ◽  
Jyoti Sitaula ◽  
Sujit Shrestha ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Distal Radius ◽  
Locking Plate ◽  
Distal Radius Fractures ◽  
Locking Plates ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
Medical College ◽  
Loss Of Reduction ◽  
One Year

Introduction: Distal radius fractures are the most common fractures in elderly. Unstable fractures are best managed surgically and the results of volar locking plates have been promising. The purpose of this study is to determine the functional outcome of volar locking plates in the treatment of unstable distal radius fractures. Methods: Forty-five patients with 46 unstable distal radius fractures were enrolled for this study, conducted at Chitwan Medical College from September 2016 to April 2017. All patients were treated with a 3.5mm titanium volar locking plate and followed-up for a minimum of one year. The assessment was done using radiological evaluation and Cooney modification of the Green and O’Brien scoring system. Results: Twenty-three men and 22 women with age ranging from 15-75 years (mean 43.22 years) were followed-up for an average of 16.53 months. There were 17 type A fractures (5 A2, 12 A3), 11 type B fractures (3 B1, 1 B2, 7 B3), and 18 type C fractures (4 C1, 12 C2, 2 C3) (AO classification). The mean time for union was 7.96 weeks. Functional outcome using modified Green and O’Brien Score was 20 excellent, 15 good, 7 fair and 4 poor results (76.1% good to excellent results). The overall complication rate was 15.22%. Conclusion: Volar locking plates provide adequate fixation for unstable distal radius fractures with minimal loss of reduction and satisfactory functional outcome.

scholarly journals FUNCTIONAL OUTCOME OF UNSTABLE DISTAL RADIUS FRACTURES - TREATED BY PERCUTANEOUS K - WIRE FIXATION

2015 ◽  
Vol 4 (86) ◽  
pp. 14989-14997
Author(s):  
Chatla Srinivas ◽  
Kali Vara Prasad Vadlamani ◽  
Moorthy G V S ◽  
Satish P ◽  
Narasimha Rao T ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Wire Fixation

scholarly journals INTRA-ARTICULAR DISTAL RADIUS FRACTURES

2015 ◽  
Vol 22 (07) ◽  
pp. 944-948
Author(s):  
Qazi Muhammad Furquan ◽  
Naveed Ahmed Solangi ◽  
Muhammad Bux Chachar ◽  
Ghulam Mustafa Kaimkhani ◽  
Malik Wasim Ahmed ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Distal Radius ◽  
Kirschner Wire ◽  
Case Series ◽  
Styloid Process ◽  
Distal Radius Fractures ◽  
Study Patient ◽  
Radius Fractures ◽  
Kirschner Wire Fixation ◽  
Wire Fixation

Objectives: To determine functional outcome of percutaneous Kirschner wirefixation and short arm cast in intra-articular distal radius fractures in patients of 20-70 years.Study Design: Descriptive case series. Setting: Department of Orthopedic Surgery, DowUniversity of Health Sciences / Civil Hospital Karachi. Period: 1st April, 2013 to 30th September,2013. Methods: A total of 62 patients with closed type III distal fractures according to Frykmanclassification were included in this study. Patient lying in supine position and after generalanesthesia, closed reduction was done with the forearm in prone position, aiming to restorenormal anatomical position. Two Kirschner wires were inserted from radial styloid process inparallel and oblique fashion to the medial cortex of the radius and one transversely from lateralto medial for intra-articular fragments. Final functional outcome was assessed after 12 weeks ofsurgery and recorded on pre-designed Proforma. Results: Acceptable functional outcome ofpercutaneous Kirschner wire fixation and short arm cast in intra-articular distal radius fractureswas observed in 80.65% (50/62) cases. Conclusions: It is concluded that functional outcomeof percutaneous Kirschner wire fixation and short arm cast procedure is satisfactory in intraarticulardistal radius fractures and it appears to be an easy, technically less demanding andeffective method for stabilization, so this procedure can be applied for patients with thesefractures.

scholarly journals A Comparitive Study between Kapandji and Extra-Focal Fixation in Extra Articular Distal Radius Fractures

2021 ◽  
pp. 1-7
Author(s):  
Dr. Kautilyakumar V. Mahida ◽  
Dr. Jyotish G. Patel ◽  
Dr. Ankit Patel
Keyword(s):  
Informed Consent ◽  
Prospective Study ◽  
Functional Outcome ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Fixation Method ◽  
Radius Fractures ◽  
Wire Fixation ◽  
K Wires

Purpose: To assess and compare the radiological and functional outcome of extra articular distal radius fractures treated by either Kapandji technique or extra-focal technique of K wire fixation. Method: From January 2018 to March 2020, 60 patients with extra articular distal radius fracture were included in this prospective study after obtaining informed consent regarding the same. Out of these 30 went under extra-focal technique and 30 went under Kapandji technique of K wire fixation. After surgery in both groups we immobilized the limb in below elbow cast for 5 weeks after which cast was removed and k-wires were removed. Radiographs were taken at 1 month, 3months and 6 months post operatively. All patients followed proper physiotherapy protocol after 5 weeks of surgery.

scholarly journals A Comparative Study on Functional Outcome of Distal Radius Fractures Treated with POP Cast Versus Percutaneous K-Wire Fixation (Both After Closed Reduction) In Kannur Medical College, Kerala, India

2021 ◽  
Vol 8 (34) ◽  
pp. 3205-3210
Author(s):  
Adnan Siddique P ◽  
Sasikumar Sasidharan ◽  
Prateek Chandak
Keyword(s):  
Functional Outcome ◽  
Distal Radius ◽  
Closed Reduction ◽  
Final Outcome ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Wire Fixation ◽  
Group A ◽  
Group B ◽  
Methods Of Treatment

BACKGROUND Closed reduction with plaster of Paris (POP) cast for extra-articular distal radius fractures was an accepted method of treatment worldwide. But the maintenance of reduced fracture fragments was unpredictable. Closed reduction and ‘K’ wire fixation with casting was also recommended widely. There was no definite option prescribed for either of the methods. In this study, we wanted to compare the final outcome of management of the distal radius fractures in adults with closed reduction and POP casing versus closed reduction with percutaneous K-wiring. METHODS A prospective, randomized, and comparative study was conducted on the final outcome of two methods of treatment for the fractures of distal end of radius. One method (Group A of 23 patients) consisted of closed reduction and POP casing and the other (Group B of 23 patients) consisted of K-wiring under C arm (23 patients in each group). Radiological and functional parameters were compared at fixed intervals for 15 months and final outcome scores were correlated and compared using Gartland and Werley functional scoring system. RESULTS In group A, AO type 2R3A2.1 fractures were observed in 03/23 (13.04 %) patients and 04/23 (17.39 %) in Group B patients. Type 2R3A2. 2 fractures were observed in 05/23 (21.73%) of the group A patients and 07/23 of the group B patients. Type 2R3A2.3 fractures were observed in 15/23 of the group A and 12/23 (52.17%) of the group B patients. Both the methods of treatment were correlating well with the various variables. CONCLUSIONS Closed reduction with percutaneous K wiring and below elbow cast application was a simple, minimally invasive technique that provided added stability and functional outcome with respect to treatment of extra-articular distal radius fracture. The conventional method of closed reduction and POP cast was closely correlating with the K wire immobilization method. There was no significant statistical difference between the two methods in the functional outcome after treatment of distal end radius fractures. KEYWORDS Radius, ‘K’ Wire, Closed Reduction, Stable Fracture, Bone Healing and Immobilize

scholarly journals Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis

2013 ◽  
Vol 8 (2) ◽  
pp. 67-75 ◽  
Author(s):  
J. C. Goslings ◽  
Monique M. J. Walenkamp ◽  
Abdelali Bentohami ◽  
M. Suzan H. Beerekamp ◽  
Rolf W. Peters ◽  
...  
Keyword(s):  
Functional Outcome ◽  
External Fixation ◽  
Distal Radius ◽  
Locking Plate ◽  
Meta Analysis ◽  
Distal Radius Fractures ◽  
Plate Versus ◽  
Volar Locking Plate ◽  
Radius Fractures

Functional Outcomes of Percutaneous K-Wire Fixation for Distal Radius Fractures with or without Osteoporosis

2013 ◽  
Vol 26 (4) ◽  
pp. 248
Author(s):  
Ki-Chan An ◽  
Gyu-Min Kong ◽  
Jang-Seok Choi ◽  
Hi-Chul Gwak ◽  
Joo-Yong Kim ◽  
...  
Keyword(s):  
Distal Radius ◽  
Functional Outcomes ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Wire Fixation

Treatment of distal radius fractures with locking plates: an update

2018 ◽  
Vol 28 (8) ◽  
pp. 1537-1542 ◽  
Author(s):  
Francois Loisel ◽  
Hugo Kielwasser ◽  
Grégoire Faivre ◽  
Thomas Rondot ◽  
Séverin Rochet ◽  
...  
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Locking Plates ◽  
Radius Fractures
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