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SYMPOSIUM - DISTAL RADIAL FRACTURES
Year : 2020  |  Volume : 3  |  Issue : 2  |  Page : 53-57

Outcome of comminuted distal-end radius fracture managed with Ulno-Carpal and distal radius stabilization using percutaneous K-wires


1 Department of Orthopaedics, AIIMS, Raipur, Chhattisgarh, India
2 Department of Trauma and Emergency, AIIMS, Raipur, Chhattisgarh, India

Correspondence Address:
Anand Kumar Singh
Room No. B210, PG/Intern Hostel, AIIMS Campus, Tatibandh, GE Road, Raipur - 492 099, Chhattisgarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JODP.JODP_23_20

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Background: Distal radial fractures account for up to 20% of all fractures treated in emergency departments, many are not “completely exempt from pain” after treatment. Several treatment modalities have been described with their own merits and demerits. Stabilization of ulno-carpal articulation is an effective method to prevent radial collapse and other complications associated with external fixator during healing, and hence this study has been designed to get a solution with good outcome and minimal complication. Materials and Methods: A prospective study on eighty patients of comminuted intra-articular fracture of the lower end of the radius, between 30 and 65 years of age, irrespective of sex, treated by closed reduction and ulno-carpal stabilization maintaining ligamentotaxis and distal radius percutaneous K-wires fixation and a well-molded above-elbow Plaster of Paris cast for 4 weeks followed by removal of K-wire and below-elbow cast for 2 weeks, has been presented. Patients were evaluated at 6-month follow-up and functionally by Sarmiento's modification of Lindstrom criteria and Gartland and Werley's criteria. Results: Excellent results were seen in 85%, good in 11.25%, and fair in 4.75% of the cases. Complications observed were malunion (n = 2), subluxation of the inferior radio-ulnar joint (n = 2), Sudeck's osteodystrophy (n = 1), and posttraumatic arthritis of the wrist (n = 2). Conclusion: The closed reduction and percutaneous K-wire fixation is a least invasive, safer, and effective method to maintain the reduction, prevent radial collapse during healing, and maintain the stability of the distal radio-ulnar joint even when the fracture is grossly comminuted, intra-articular, or unstable.


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