A COMPARATIVE STUDY OF MANAGEMENT OF EXTRA ARTICULAR DISTAL RADIUS FRACTURES IN ELDERLY BY CLOSED REDUCTION ALONE AND CLOSED REDUCTION WITH PERCUTANEOUS K-WIRE PINNING.

Dr. K.Vijay Mohan Reddy; Dr. K.Suman Kumar; Dr. K.Laalasa; Dr. Chandan S; Dr. C.Venkappa

Volume : X, Issue : VI, June - 2020

A COMPARATIVE STUDY OF MANAGEMENT OF EXTRA ARTICULAR DISTAL RADIUS FRACTURES IN ELDERLY BY CLOSED REDUCTION ALONE AND CLOSED REDUCTION WITH PERCUTANEOUS K-WIRE PINNING.

Dr. K. Vijay Mohan Reddy, Dr. K. Suman Kumar, Dr. K. Laalasa, Dr. Chandan S, Dr. C. Venkappa

Abstract :

Background: A prospective, randomized study of patients older than 60 years of age with extra–articular fracture of distal radius was performed to compare the outcome of immobilization in a cast alone and cast with supplementary percutaneous pinning. The objective of the study was to determine which of the two methods is beneficial. Materials and methods: 36 patients were treated with closed reduction, and 33 were treated with closed reduction and percutaneous k–wire pinning between august 2018 to Feuary 2020 at government general hospital, Kurnool. The mean age of the patient was 64 years. Results: Patients treated with percutaneous wiring had statistically significant improvement in their radiological findings, i.e., volar angulation (mean –4.32 degrees), radial inclination (mean 23.22 degrees), and radial length (mean 10.49mm). However, there was no significant difference in functional outcomes in terms of the range of movement and Quick DASH score