A clinical study of various management techniques in distal end radius fractures in adults

Abstract

Objectives: The present study was conducted to evaluate the functional outcome of distal radial fractures in adults with surgical treatment using closed reduction and K-wire fixation, external fixation with or without K-wire augmentation and assess the complications of various surgical procedures done for distal radial fractures. Material and Methods: A prospective study was carried out on 20 adult patients with distal radial fractures. The fracture fragments were analysed and involvement of radio-carpal and distal radio-ulnar joints were assessed and classified according to the Frykman’s classification Regular follow up was done at an interval of 6 weeks, 3, 6 and 12 months. The follow up ranged from 5 to 12 months. The results were assessed at 3 months after the procedures. Results: The functional outcome evaluated using the demerit score system of Gartland and Werley based on objective and subjective criteria and residual deformity, we achieved excellent results in 4 (20%) cases, good results in 12 (60%) cases, fair results in 3 (15%) cases and poor result in 1 (5%) case. Conclusion: Surgical management of distal radial fractures, regardless of the type of fixation, produced excellent to good results with proper pre-operative evaluation, selection of the method based on fracture pattern, reducibility, stability and quality of bone, early fixation, proper wound and pin site care, early post-operative rehabilitation and patient education. Mal-union should be avoided by proper selection of implant and procedure, early reduction and fixation, better surgical skills.