Comparative Study Between Closed Reduction and Cast Application with and Without Percutaneous K Wire Fixation for Extra Articular Fracture Distal and Radius

Abstract

Background-It has been increased demand for impeccable reduction and reduced complications in the treatment of fracture midst the patients. There are various treatment modalities available for the treatment of a distal radius fracture; which includes closed reduction and casting, closed reduction and percutaneous spinning by different methods. External fixation by means of ligamentotaxis to realign displacedfracture in case of closed reduction and volar or dorsal approach and internal fixation by different implants such as screws, plates, or screws with locking plate for open reduction, are few other treatment modalities. Materials And Methods-50 cases of extraarticular fractures of lower end of radius were treated during the period of one year. These 50 cases were divided randomly in two groups consisting of 25 patients each. One group was managed with closed reduction and cast while the other group by percutaneous K wire fixation followed by below elbow cast in neutral position.RESULTS- Forty percentwere male while 60% were females, 70% patients were present with the injury in right hand while 30% were having injury in left hand 12% patients were having ulnar styloid fracture while 14% had radioulnar joint instability. Mechanism of injury was fall on outstretched hands in 76% patients and RTA in 16%.Conclusion-Radiological outcome is better by K wire fixation than by closed reduction and cast in treatment of extra articular distal end radial fracture. Functional outcome remains the same whether they are treated by K wire  fixation or by closed reduction and cast but the early rehabilitation in K wire group as compared to the cast alone canbe outweighed with the complications associated with percutaneous pinning.

Keywords: Ligamentotaxis, Distal Radius Fracture,Tenderness, Bony Irregularity, Crepitus