A Comparative Study between Closed Reduction and Cast Application Versus Percutaneous K- Wire Fixation for Extra-Articular Fracture Distal end of Radius.

Dr. Himanshu Bansal; Dr. Devinder Kumar Gupta; Dr. Ambry Garg; Dr. Mohit Jindal

Volume : IX, Issue : VI, June - 2020

A Comparative Study between Closed Reduction and Cast Application Versus Percutaneous K- Wire Fixation for Extra-Articular Fracture Distal end of Radius.

Dr. Himanshu Bansal, Dr. Devinder Kumar Gupta, Dr. Ambry Garg, Dr. Mohit Jindal

Abstract :

Aim : To evaluate and compare the results of treatment of distal end extra articular radial fractures with either closed reduction with pop casting or closed reduction with k–wiring. Patient and methods : A comparative, prospective, observational and randomised study was conducted on distal end extra articular radius fracture treated with either pop casting or K–wiring under C arm (25 cases each), admitted in department of orthopaedics, Kalpana chawala government medical college karnal. Patients were followed up for 6 months and functional outcome was evaluated using Gartland and Wherley functional scoring system. Results : In this study we obtained good to excellent results in 18 of the cases managed with pop casting while in 24 cases treated with k wiring showed good to excellent results with p–value 0.00054 (by One Way ANOVA test), which is statistically significant. We conclude that K wiring is an effective and reliable method with minimal complications and better functional end results than non–operative method of treatment for distal end extra articular radius fractures.