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Extra-articular distal end radius fractures in elderly treated conservatively- functional outcome

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Original Article

Author Details : Rohit Ranjolkar*, Rajesh Sajjanshetty

Volume : 10, Issue : 2, Year : 2024

Article Page : 130-134

https://doi.org/10.18231/j.ijos.2024.022

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Abstract

Background: An ageing population is associated with an increase in the frequency of distal radius fractures, an orthopaedic problem that affects many people. Orthopaedic surgeons have special concerns while treating some types of fractures, including those involving the distal end of the radius that occur outside of the joint. For this reason, we set out to compare the efficacy of conventional cast methods with that of percutaneous pinning in a sample of older adults.
Materials and Methods: From June 1, 2021 to June 1, 2022, researchers from Bidar Institute of Medical Sciences, Bidar, conducted a prospective, randomised trial. Thirty patients underwent cast immobilisation and closure reduction. thirty-one patients underwent closed reduction with percutaneous K wires. The patients underwent a clinical examination and X-rays at each subsequent follow-up.
Results: The results showed that the group that had closed reduction K-wire fixation had greater range of motion, VAS scores, and loss of radial length compared to the other group. When looking at the Saito chart and Lindstrom's criterion findings for both groups, it was also evident of this. In 13% of patients, a pin tract infection developed following K-wire fixation but went away after the wires were removed. This was the sole serious side effect of the procedure.
Conclusion: When treating displaced, distal end radius fractures, the best, safest, and most complication-free method is closed reduction with percutaneous K-wire fixation.
 

Keywords: Extra- articular cistal radius, Radiographic, Plaster cast, Immobilization, Elderly.

How to cite : Ranjolkar R, Sajjanshetty R, Extra-articular distal end radius fractures in elderly treated conservatively- functional outcome. Indian J Orthop Surg 2024;10(2):130-134

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