LATE COLLAPSE OF DISTAL RADIUS FRACTURES MANAGED CONSERVATIVELY AND WITH PERCUTANEOUS PINNING (K-WIRES): A PROSPECTIVE STUDY

Dr. KAUSHIK MANDAL; Dr. TANUSHREE MONDAL; Dr. POULAMI NANDI; Dr. SUKANTA DAS; Dr. DEBARSHI JANA

Volume : IX, Issue : IV, April - 2020

LATE COLLAPSE OF DISTAL RADIUS FRACTURES MANAGED CONSERVATIVELY AND WITH PERCUTANEOUS PINNING (K-WIRES): A PROSPECTIVE STUDY

Dr. Kaushik Mandal, Dr. Tanushree Mondal, Dr. Poulami Nandi, Dr. Sukanta Das, Dr. Debarshi Jana

Abstract :

The morbidity of distal radius fracture e.g. deformities, rigid joints, stiff and swollen fingers, loss of the pronation– supination movements and neuralgic complaints resulting from injuries of the wrist and of the carpal extremity of the forearm�one or more of these evils having been left, not merely as a temporaryinconvenience but as a permanent consequence. The aim of the study is a) To find out whether there is any collapse of distal end radius fracture after 6 months post treatment. Includes 25 patients treated conservatively and 25 patients treated with percutaneous pinning who fulfilled the study criteria. Operative interventions showed a lesser no of cases having affected range of motion at 6months.Pain was mainly complained during 1st month which regressed at later stage. No complications related to surgical wound was present by the 6months. Incidence of late collapse is more common in conservative group. Factors such as age, sex, DRUJ involvement, ulnar styloid fractures associated with DRUJ involvement and initial displacement are predictive of reduction loss. Patients with low functional requirements are more likely to have only conservative treatment of these fractures. Whereas distal radius fractures treated by percutaneous K wire fixation, did not suffer significant loss of reduction of fracture position after removal of wires. This remains true regardless of age, sex, fracture type or duration of wire fixation.