Vol. 6, Issue 4 (2020)
Effectiveness of closed reduction and minimally invasive percutaneous fixation of dorsally displaced distal radius and associated fractures
Author(s):
Dr. Vivek Amritbhai Patel, Dr. Vishal Pushkarna, Dr. Hardik Padhiyar, Dr. Saurabh Patel, Dr. Vraj J Patel and Dr. Smit D Dave
Abstract:
Introduction: Distal radius fractures & associated wrist injuries are common. No doubt prevails for treatment of volar fragment intraatricular injuries. For dorsal comminution extraarticular & dorsal fragment intraarticular injuries various methods available & all have various implications on optimization of the treatment.
Material & Methods: We treated (n=25) patients of distal radius dorsally displaced intraarticular & extraarticular fractures with percutaneous K wires fixation with or without external fixation ligamentotaxis at our unit. All were closed fractures. Age mean was 62.5 years. Preoperatively they were classified according to Frykman classification.
Results: Postoperative evaluation by Sarmiento et al. modification of demerit point system of Gartland and Werley. 8% had Excellent, 48% had Good, 32% had Fair & 12% had Poor results. Non union rate was zero (n=0).Average union time was 4.5 weeks.
Conclusion: Distal radius fractures treated with percutaneous pinning yields high union rate with closed reduction benefits like fracture hematoma prevention & low infection rates. It also provides mechanical stability with some allowable micromotion as far as dorsal comminution or intararticular dorsal fractures of distal radius concern. It provides cost effective & better alternative to closed reduction & cast treatment.
Pages: 482-486 | 1240 Views 349 Downloads
How to cite this article:
Dr. Vivek Amritbhai Patel, Dr. Vishal Pushkarna, Dr. Hardik Padhiyar, Dr. Saurabh Patel, Dr. Vraj J Patel and Dr. Smit D Dave. Effectiveness of closed reduction and minimally invasive percutaneous fixation of dorsally displaced distal radius and associated fractures. Int. J. Orthop. Sci. 2020;6(4):482-486. DOI: 10.22271/ortho.2020.v6.i4g.2377
