scholarly journals Functional Outcome of Distal Radius Fracture Treated by Closed Reduction and K Wiring in Elderly Population

2020 ◽  
Vol 9 (48) ◽  
pp. 3660-3664
Author(s):  
Aravind Shanbhag ◽  
Ramdas Shenoy B. ◽  
Visakh Pandikasalayil ◽  
Aditya H. Kumar ◽  
Praveen J.
Keyword(s):  
Functional Outcome ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Closed Reduction ◽  
Elderly Population ◽  
Radius Fracture

scholarly journals COMPARATIVE STUDY OF RADIOLOGICAL AND FUNCTIONAL OUTCOME OF EXTRA ARTICULAR DISTALRADIUS FRACTURE TREATED CONSERVATIVELY WITH RESPECT TO ITS POSITION OF IMMOBILIZATION

2018 ◽  
Vol 6 (1) ◽  
pp. 46-51
Author(s):  
Gopal Prasad Gnawali
Keyword(s):  
Functional Outcome ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Closed Reduction ◽  
Functional Results ◽  
Plaster Cast ◽  
Radius Fracture ◽  
Chi Square ◽  
Radiological Parameters

INTRODUCTION: Distal radius fracture is one of the common injury in orthopedic trauma. Traditionally,this fracture is being treated with closed reduction and immobilization in palmer flexion and ulnar deviation. This position of immobilization has been shown with poor functional result. So the aim of our study is to compare the radiological and functional outcome of distal radius fracture treated conservatively with respect to position of immobilization. MATERIAL AND METHODS: Hundred patients, all above 20 years of age with distal radius fracturewhere treated with closed reduction and below elbow cast application. Patients were randomly allocated to dorsal and palmer flexed plaster cast application, fifty in dorsiflexion group and fifty in palmer flexion group. All patients were followed up at 2nd week, 4th week, 6th week and 12th weeks. Radiological parameters measured in every follow-up and functional parameters measured after removal of cast in last two follow up. The results were scored and compared by Demerit Scoring System of Saito. For comparison, t test and Chi square test were used as necessary.RESULTS: All fractures united. All individual movements of wrist were significantly better in the dorsiflexed immobilized group as compared with  the  palmerflexed immobilized  group. Radiological parameters  were  also markedly better  in the dorsiflexed group.CONCLUSION: Both radiological and functional results of the extra articular distal radius fracture are better if the fracture immobilized in the dorsiflexed position after reduction rather than traditional palmer flexion position. Journal of Universal College of Medical SciencesVol. 6, No. 1, 2018, page: 46-51

scholarly journals Clinical and Functional Outcome of Volar Locking Plate Fixation for Distal Radius Fracture

2009 ◽  
Vol 58 (2) ◽  
pp. 283-286 ◽  
Author(s):  
Shoichi Kuba ◽  
Itaru Furuichi ◽  
Masakazu Murata ◽  
Takeshi Miyaji ◽  
Noriaki Miyata ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Locking Plate ◽  
Plate Fixation ◽  
Radius Fracture ◽  
Volar Locking Plate ◽  
Locking Plate Fixation

Functional Outcome of Distal End of Radius Fractures Treated with Buttress Plating at a Tertiary Care Centre in Central Kerala, India

2021 ◽  
Vol 8 (32) ◽  
pp. 3006-3011
Author(s):  
George Allen John ◽  
Dennis Antony
Keyword(s):  
Functional Outcome ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Scoring System ◽  
Radius Fracture ◽  
Radius Fractures ◽  
Anatomical Reduction ◽  
Excellent Outcome ◽  
Fracture Management ◽  
Buttress Plate

BACKGROUND Distal radius fractures are one of the most common injuries that orthopaedic surgeons will face during their trauma practice. Despite this, many aspects in distal radius fracture management like the definition of what constitutes an acceptable reduction and when or even whether to operate a patient with a distal radius fracture remain a poignant subject of debate even to this day. We wanted to evaluate the functional outcome of fractures of distal end of radius managed with buttress plate. The importance of anatomical reduction in attaining a good functional outcome and post-operative complications of the procedure are also studied. METHODS A prospective study of cases of distal end of radius fractures meeting the inclusion criteria who were admitted in Thrissur Government Medical College, Kerala between 1 – 01 - 2016 to 1 – 06 - 2017 was carried out. Fractures were classified according to Frykman system and anatomical reduction of fragments attempted using buttress plate and screws. After a minimum follow up period of 3 months, the anatomical and functional outcomes were standardised using Lindstorms anatomical and functional scoring system. RESULTS A series of 32 cases with distal end of radius fracture were studied comprising of 24 males and 8 females. Majority were in the age group of 20 to 29 years (50 %). Road Traffic Accidents was the commonest cause of injury (62.5 %). Type III Frykman made the largest contribution with 11 (34 %) cases. A total of 7 cases were found to develop complications including blisters, joint stiffness, infection and paraesthesia. Postoperatively, excellent anatomical reduction was achieved in 75 % of cases and good results in 12.5 % cases. Functionally 68.75 % cases had an excellent outcome and 18.75 % had a good result. CONCLUSIONS Good to excellent results were seen in majority of patients after buttress plate fixation of the distal radius, with outcomes and complications comparable to other studies in literature. This study supports the finding that precise identification of unstable lower radial fractures, and satisfactory anatomical restoration results in improved functional outcome. KEYWORDS Distal End Radius Fracture, Buttress Plating, Functional Outcome, Frykman Classification, Lindstorm Scoring System

Comparing Outcomes between Arthroscopic-Assisted Reduction and Fluoroscopic Reduction in AO Type C Distal Radius Fracture Treatment

2020 ◽  
Author(s):  
Siu Cheong Jeffrey Justin Koo ◽  
Kam Yiu Adrian Leung ◽  
Wai Wang Chau ◽  
Pak Cheong Ho
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Grip Strength ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Fracture Reduction ◽  
Radius Fracture ◽  
Dash Score ◽  
Type C ◽  
Assisted Fracture

Abstract Background Distal radius fracture is one of the most common injuries. Poor functional result with restricted wrist motion can be developed when there is intra-articular fibrous tissue development arising from articular step-off and gapping. Objectives The aim of this study is to compare the functional and radiological outcome between arthroscopic-assisted reduction and fluoroscopic reduction in treating unstable intra-articular distal radius fracture. Methods We retrospectively analyzed 12 patients with intraarticular AO type C distal radius fracture treated with arthroscopic-assisted fracture reduction and internal fixation and compared them with another group of 12 patients in which fracture reduction is assessed by fluoroscopy alone (15 males and 9 females, mean age 57.3, range 27–73). The two cohorts were analyzed for differences in radiological parameters including articular stepping and gapping, palmar tilt, radial inclination, ulnar variance as well as functional outcome in range of motion, grip strength, modified mayo wrist score, and Quick Disabilities of the Arm, Shoulder, and Hand (DASH) score at an average of 12.5 months (range 5–26) after surgery. Results Arthroscopic-assisted fracture reduction group has statistically better restoration of articular stepping and gapping, volar tilt and ulnar variance. Range of motion, grip strength, modified mayo wrist score and Quick DASH score also had statistically significant improvement in arthroscopic group. Conclusion Our study showed arthroscopic-assisted technique can precisely restore radiological parameters in highly comminuted distal radius fracture with good functional outcome. Also, associated intra-articular soft tissue injury can be detected and treated simultaneously. Level of Evidence This is a level III, retrospective cohort study.

scholarly journals Prospective study on outcome in management of distal radius fracture by closed reduction and percutaneous 5 K-wire fixation

2021 ◽  
Vol 7 (3) ◽  
pp. 572-577
Author(s):  
Narendra Joshi ◽  
Premsagar C Desai ◽  
Rakesh Kumar Dhukia ◽  
Abhijit Shetty ◽  
Krishan Murari Sharma ◽  
...  
Keyword(s):  
Prospective Study ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Closed Reduction ◽  
Radius Fracture ◽  
Wire Fixation

scholarly journals A comparative study of management of Colles fracture by closed reduction with cast versus closed reduction with internal fixation (K-wires/4 mm CC screws)

2017 ◽  
Vol 4 (1) ◽  
pp. 86
Author(s):  
Vamshi Varenya Nimmagadda ◽  
Bhanu Prabha T. ◽  
Johorul Islam Tapadar
Keyword(s):  
Comparative Study ◽  
Internal Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Closed Reduction ◽  
Simple Procedure ◽  
Treatment Options ◽  
Radius Fracture ◽  
Neutral Position ◽  
Percutaneous Pinning

<p class="abstract"><strong>Background:</strong> Distal radius fracture is extremely common and represents 16% of fractures treated by orthopaedic surgeons. Near anatomical reduction with restoration of radial length, radial tilt and ulnar variances are important for good functional results. A variety of treatment options have been proposed for distal radius fracture closed reduction and immbolization in cast has been the main stay of treatment, but because it invariably results in malunion, poor functional outcome and cosmetic outcome, other modality of treatment were brought into practice like percutaneous intrafocal pinning, transulnar percutaneous pinning, external fixation, plating etc. This comparative study was to compare the clinical outcomes of closed reduction with cast and closed reduction with Percutaneous Kirschner wiring (PKW)/canullated cancellous screws (CC screws 4 mm)for the management of Colles fractures in patients between 20 and 70 years old. In this study we did an prospective study in 40 patients with extra articular distal radius fracture treated by both closed reduction with cast and closed reduction internal fixation (PKW/CC screws).</p><p class="abstract"><strong>Methods:</strong> There were 20 patients with Colles fractures treated by closed reduction with cast and 20 patients treated with closed reduction internal fixation (PKW/CC screws). We compared both the managements together. All patients were followed up in the orthopaedic department prospectively for at least 12 months between June 2015-June 2016 The functional outcomes and radiological results were compared between the two groups.<strong></strong></p><p class="abstract"><strong>Results:</strong> The study included 40 patients, aged between 20 to 69 yrs. Average follow up was 12 months. Using the demerit scoring system of Gartland and Werley we had excellent to good results of 60% in closed reduction internal fixation compared to closed reduction with casting excellent to good was 10%.</p><p><strong>Conclusions:</strong> The percutaneous pinning/cc screws and immobilization in neutral position for 3 weeks followed by physiotherapy proved to be better and simple procedure for extra articular non comminuted distal radius fractures. </p>

scholarly journals Isolated Carpal Dislocation of the Pisiform with Distal Radius Fracture in Two Adults: A Rare Entity

2019 ◽  
Vol 12 (03) ◽  
pp. 215-218
Author(s):  
Ajay Lall ◽  
Nicholas Shephard ◽  
Simon Greenbaum ◽  
Teresa Doerre ◽  
Sean Wilson ◽  
...  
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Closed Reduction ◽  
Adult Population ◽  
Symptomatic Improvement ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Radius Fractures ◽  
Rare Injury ◽  
Good Pain Relief

Abstract Background Pisiform dislocations are an extremely rare injury. There are reports in the literature of isolated dislocations, but to our knowledge there are no reports of distal radius fractures with associated pisiform dislocations. Methods and Results We present two cases of isolated pisiform dislocation and distal radius fracture in the adult population. Both patients were managed conservatively with closed reduction in both the distal radius and pisiform, and subsequently achieved good pain relief and progressive return of wrist function. Conclusion For adult patients with distal radius fractures and an associated pisiform dislocation, successful closed reduction and immobilization can result in symptomatic improvement and return of function.

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