Extra articular fracture of distal end radius managed by multiple k wire and transfixation of distal radioulnar joint

Dr Rajendra W. Baitule; Dr Sanjeev V Jaiswal; Dr Suraj Singh; Dr Sankalp Makarande

Volume : VIII, Issue : III, March - 2019

Extra articular fracture of distal end radius managed by multiple k wire and transfixation of distal radioulnar joint

Dr Rajendra W. Baitule, Dr Sanjeev V Jaiswal, Dr Suraj Singh, Dr Sankalp Makarande

Abstract :

Purpsose –Distal end radius comprise of 17% fracture in adults. No other fracture has a greater potential to devastate hand function. A thorough understanding of the pathophysiology and treatment of distal end radius is important as high energy trauma to distal end radius in adults is becoming more common and long term functional results are unclear, these common injuries. The causes of injury are fall on outstretched hand, work related accidents, car accidents, sport injuries. Extraarticular fracture of distal end radius can be managed by multiple k wire and transfixation to prevent proximal migration of the fracture fragments. Methods– Total 30 cases were included in the study. the cases were treated by multiple k wire and transfixation of distal radioulnar joint and all cases were given above elbow cast after transfixation for 3 weeks. Patients were reviewed for removal of wire and cast. Anatomical and functional outcomes were then evaluated in all the patients. Results– This study achieved excellent results in 24 patients ,good in 4 patients,fair in 1 patients,poor in 1 patients evaluated as per the criteria suggested by Green and Oein score (cooney`s modification). in this study , 8 pts had wrist pain and stiffness and 6 pts had finger stiffness as their post operative complication. pain and stiffness in wrist and finger stiffness significantly improved after physiotherapy. Our case series attributes to 93% of excellent to good results and 4% of fair 3%of poor results. Conclusion–1.Treatment of comminuted fractures of the distal end of the radius by transfixation with Kirschner wires is an effective method of maintaining reduction 2.This is simple for fracture ﬁxation with preservation of fracture haematoma. 3.Shorter period of surgery with minimal exposure no need of torniquet 4. Minimum invasive surgery with minimum expertise.