THE OUTCOME OF DISTAL END RADIUS FRACTURE TREATED WITH CLOSED REDUCTION WITH PERCUTANEOUS PINNING AND CLOSED REDUCTION WITH CAST APPLICATION

Abstract

Background: Fractures of the distal end radius represent the most common upper extremity fracture. Distal end radius Fractures are recognized as very complex injuries with a variable prognosis. This type of fracture usually results from low Energy trauma in the elderly with low functional demand. Method: The present study patient with age 20 to 65 years included 90 cases of both extra articular and intraarticular distal end radius fracture treated with closed reduction and cast and closed reduction with K wire xation+ cast, it is a prospective study conducted at Gandhi medical college& associated Hamidia Hospital Bhopal between 2018 - 2020. Results: The most common mode of injury was fall on outstretched hand (65%), with male preponderance ( 60%) and right side more common in both the group. The average age in both the group was 45.90±10.16 year most common population in our study is 41.1% of age group 41-50 year. According to AO classication fracture type 2R3A2 is involved in 74.4% of the patients. Complications was higher in closed reduction with cast group. According to modied Gartland and werley scoring system results was in closed reduction with casting group3 patient had excellent ,9 patient had good , 28 patient had Fair and 5 patient had poor results. In closed reduction with percutaneous K Wire and casting group 7 patient had excellent , 19 patient had good , 15 patient had fair and 4 patient had poor results. Conclusions: Percutaneous Kirschner wire pinning is a minimally invasive technique that provides an effective means of Maintaining the anatomical fracture reduction. It does not required highly skilled personnel or sophisticated tools for Application. It is a suitable method for xation of displaced distal end radius fracture with minimal intra-articular Involvement. Hence we concluded that closed reduction with K-wire with cast was less complications and had better functionally as well as radiological outcome