Abstract: Background: One of the most common fracture occurring due to trivial fall are distal end radius fractures. These fractures are commonly treated with cast application and also with internal fixation. Generally complex communited fractures require internal fixation for good outcome and functionally stable joint. Many treatment options have been suggested for these type of fractures, but sometimes these fractures end up with malunion resulting in poor functional mobility. In this study we are comparing distal end radius fractures treated with closed reduction and cast application vs percutaneous k wire fixation and 4mm Cannulated cancellous screw. This study includes 40 patients (20 patients in each group) with aged between 20 to 60 yrs with extra-articular colle’s fracture.
Methods: Every alternate patient were assigned for pop cast application and internal fixation, So there were total 20 patients in each group. The study has been done for a period of one year from March-2018 to March-2019 with regular follow ups. The results were compared between the two groups by clinical examination and radiological investigations
Results: The comparative results showed excellent to good results in 90% of patients with internal fixation compared to closed reduction with cast application which showed good results in 40% of the patients. The study was done using the demerit scoring system of Gartland and Werley. The average followup was 12months.
Conclusions: The superior results were achieved for internal fixation (K-wire/CC screws) along with immobilization for 4 weeks followed by physiotherapy showed better outcome.
