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 Hematoma block for distal radius fractures – prospective, randomized comparison of two different volumes of lidocaine

2018 ◽  
Vol 46 (11) ◽  
pp. 4535-4538 ◽  
Author(s):  
Hagay Orbach ◽  
Nimrod Rozen ◽  
Barak Rinat ◽  
Guy Rubin
Keyword(s):  
Distal Radius ◽  
Analgesic Efficacy ◽  
Fracture Site ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Vas Score ◽  
Significant Difference ◽  
Group A ◽  
Vas Scores ◽  
Group B

Objective This study aimed to compare analgesic efficacy and safety of different volumes of lidocaine injected into a fracture hematoma (hematoma block [HB]) for reducing distal radius fractures. Methods Patients were randomly divided into two groups. Group A included patients in whom 10 mL of 2% lidocaine was injected into the fracture site and group B included patients in whom 20 mL of 1% lidocaine was injected. The fracture was manipulated after 15 minutes and the Visual Analogue Scale (VAS) score was recorded during manipulation. Patients were followed up for approximately 1 hour and complications were recorded. Results Twenty patients were enrolled in the study (12 women and eight men), with a mean age of 57 years (range, 32–87 years). Demographic findings were similar between the groups. The mean VAS score of group A was 5.50 ± 3.57 and that in group B was 3.09 ± 2.33, with no significant difference between the groups. Conclusion VAS scores between HB with 20 mL of 1% lidocaine and HB with 10 mL of 2% lidocaine are not significantly different. However, our study suggests that HB with 20 mL of 1% lidocaine has a better analgesic effect than HB with 10 mL of 2% lidocaine.

scholarly journals A comparative study between variable and fixed angle volar locking plates in management of unstable intra-articular distal radius fractures

2020 ◽  
Vol 6 (6) ◽  
pp. 1222
Author(s):  
Chhagan Lal Regar ◽  
Siddharath Sharanappa Parmeshwar ◽  
Ramesh Chandra Meena ◽  
Shyoji Lal Sharma ◽  
Jitesh Kumar Jain
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Volar Plate ◽  
Radius Fractures ◽  
Fixed Angle ◽  
Radial Inclination ◽  
Variable Angle ◽  
Group A ◽  
Group B

<p><strong>Background:</strong> The current study is conducted to assess and compare the radiological and functional outcomes between variable and fixed angle volar plating in unstable intra-articular distal radius fractures.</p><p><strong>Methods:</strong> A prospective study was conducted from May 2018 to May 2020. A total of 156 patients were randomised into two groups A and B of 78 patients each. The plates were T or oblique fixed angle volar plate in group A and variable angle volar plate in group B. Patients were followed up for minimum 12 months. The functional outcome was measured by patient rated hand wrist evaluation score (PRHWE) and radiological outcome by radial height, volar tilt and radial inclination. The secondary objective was to correlate complications.</p><p><strong>Results:</strong> In our study average PRHWE score was better in group B (p&lt;0.05). Radial height, volar tilt, radial inclination was much closer to anatomical wrist radiology was seen in group B. The most common complication was finger and wrist stiffness in group A.</p><p><strong>Conclusions:</strong> Patients treated with variable angle volar plate showed better results in functional and radiological outcomes at 12 months follow-up but limitations include short duration of follow up.</p>

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 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 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

“COMPARATIVE STUDY OF DISTAL END RADIUS FRACTURE TREATED BY PERCUTANEOUS 5 PIN TECHNIQUE V/S CLOSED REDUCTION AND CASTING METHOD”.

2021 ◽  
pp. 29-31
Author(s):  
Vibhor Khandal ◽  
Ashwani Kumar Mathur ◽  
Mohit Kumar ◽  
Rajkumar Bairwa
Keyword(s):  
Distal Radius ◽  
Closed Reduction ◽  
Soft Tissues ◽  
Hand Function ◽  
Early Mobilization ◽  
Fracture Site ◽  
Distal Radius Fractures ◽  
Point System ◽  
Casting Method ◽  
Radius Fractures

Introduction: Distal end radius fractures crush the mechanical foundation of most useful tool, the hand. No other fracture has a such potential to devastate hand function, and no other metaphysis of bone is embraced by more soft tissues. Closed reduction and percutaneous pinning is one of the standard treatments for management of distal radius fractures, and its modication 'The percutaneous 5 pin technique improves the reliability of xation thus combining the benets of non-invasiveness as in casting and stability achieved is comparable to open reduction and plating. Material and method: This prospective study was done between December 2018 to December 2020 in department of orthopedics, including 60 patients with fracture of distal radius Among them 30 patients subsequently underwent ve pin xation and 30 patients were treated with closed reduction and casting method. Result: Radiological analysis of the data was done using Sarmiento's Modication of Lidstrom Criteria. Activities of daily life (ADL) were examined by using the demerit point system of Gartland and Wereley based on objective and subjective criteria, residual deformity and complications. Radiological parameters were assessed for at the end of 6months. There was signicant difference in all the three parameters i.e, Volar tilt, Radial length, Radial inclination between both groups at the end of 6 months. Closed reduction with ve pinning technique group had shown not only better but also statistically signicant anatomical reduction compared to other groups. Functional outcome was better in patients treated with percutaneous 5 pinning technique. Conclusion: The ve pin technique carries the advantage of early mobilization, DRUJ stability. Radio Ulnar pins and the pins across the fracture site provide enough stability to permit early mobilization leading to less post operative stiffness in joint. Although the study series is small and further research is essential to provide directions for treatment, it is safe to conclude that the ve pin technique is a technically less demanding, lessinvasive and an effective way of treating displaced distal radius fractures without severe articular or metaphyseal comminution

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