International Journal of Orthopaedics Sciences

Management of distal end radius fractures by five k -wire fixation

2024, Volume 10 Issue 2

Management of distal end radius fractures by five k -wire fixation

Author(s): Dr. Bhumica Sable and Dr. Sandeep Purane
Abstract: 
Background: One of the most frequent bone injuries seen in orthopaedics accounting for about 15% is a fracture of the distal radius. Treatment includes closed reduction and POP application, external fixation, internal fixation and percutaneous pin insertion. When comparing non-operative and operational treatment options, percutaneous pin fixation is the least traumatic option available. For distal radius fractures, the research sought to see how well the Five Pin Technique performed when used as a surgical treatment option.
Material and Methods: The research was done on 20 patients (12 females and 8 males) with distal radius fractures admitted in ACPM Medical College, DHULE Orthopaedics Department. Age ranged from 23 to 76. By Frykman categorization, 9 (45%) patients were Type 1, 3 (15%) were Type 2, 4 (20%) were Type 3, 1 (5%) were Type 4, and 1 (5%) were Type 6,2 (10%) of them were Type 7. 14 (70%), 4 (20%), and 2 (10%) of the research participants had surgery within one to two weeks of each other, respectively, over the course of the study.
Results: The study's subjects radiological results suggested that in 10 (50%) of the patients, the loss of radial tilt was excellent, good in 6 (30%), fair in 3 (15%), and bad in 1 (5 percent).
It was outstanding in 12 (60%) patients, good in 4 (20%), fair in 2 (10%), and bad in 2 (10%) patients with radial shortening.
There were 9 (45%) patients with excellent loss of radial deviation; 7 (35%) patients with good loss; 3 (15%) patients with fair loss; 1 (5%) patient with bad loss.
10 (50%) patients were outstanding, 7 (35%) patients were good, 2 (10%) patients were fair, and 1 (5%) patient was bad in the research participants' functional outcomes by the short DASH score.
45% of the patients had no problems, while 10% had deformity, while 10% had extensor tendon tethering, while 25% had superficial pin tract infection, and 10% had deformity and superficial pin tract infection as a result of their surgery.
Conclusion: "Five pin approach" is safe to treat displaced intra-articular and extra-articular distal end radius fractures without damaging the joint or the metaphysis.

Pages: 172-177  |  150 Views  95 Downloads


International Journal of Orthopaedics Sciences
How to cite this article:
Dr. Bhumica Sable, Dr. Sandeep Purane. Management of distal end radius fractures by five k -wire fixation. Int J Orthop Sci 2024;10(2):172-177. DOI: 10.22271/ortho.2024.v10.i2c.3549
 
International Journal of Orthopaedics Sciences
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