Title: Different Modalities of Distal End Radius Fracture Treatment
Authors: Lakshmi Narayana.S*, Viswanath Naik.B, Kalyana Sundari.P, Lalu Naik.K
DOI: http://dx.doi.org/10.18535/jmscr/v4i7.29
Distal radius fractures are the most common long bone fracture. These were randomly treated by different methods. This retrospective study was conducted in the department of orthopaedic surgery in Mahatma Gandhi Memorial Hospital,Warangal, Telangana state, India. Over a period of 4 years data of all the patients with fracture of distal end radius who were admitted were recorded from case files, casuality admission register and operative records. A total of 412 patients were included in our study and mode of treatment was compared among the various available treatment modality such as cast/slab; percutation fixation with k-wire, external fixation & plate osteosynthesis. Out of the total number of cases (n=412) for fracture distal end radius, nearly 12% case were managed with cast , 22% with percutaneous fixation with k-wire , 24% with external fixature, 19% with both external fixator and k-wire and 23% with plate osteosynthesis. This study concludes that incidence of distal end radius fracture plating had increased over a span of time and plating was increased over a period of time as compared to cast, percutaneous k -wire fixation and external fixator. Keywords: Distal radius, Fixation, Fracture, osteosynthesis. 1. Gartland JJ, Werley CW. Evaluation of healed Colles’ fractures. J Bone Joint Surg Am 1951; 33 (4): 895-907. 2. Leung F, Tu YK, Chew WY, Chow SP. Comparison of external and percutaneous pin fixation with plate fixation for intra-articular distal radial fractures. A randomized study. J Bone Joint SurgAm . 2008; 90 (1):16-22. 3. Moroni A, Vannini F, Faldini C, Pegreffi F, Giannini S. Cast vs external fixation: a comparative study in elderly osteoporotic distal radial fracture patients. Scand J Surg. 2004; 93 (1):64-7. 4. Singer BR, McLauchlan GJ, Robinson CM, et al. Epidemiology of fractures in 15,000 adults: the influence of age and gender [J]. J Bone Joint Surg Br 1998; 80 (2):243-8. 5. Jupiter JB. Fractures of the distal end of the radius. J Bone Joint Surg Am. 1991; 73:461–469. 6. Bohra AK, Vijayvergiya SC, Malav R, Jhanwar P. A prospective comparative study of operative treatment of distal radius fracture by using locking and non-locking volar T- plate. JPBMS 2012;20 (14):172-5. 7. Weber SC, Szabo RM. Severely comminuted distal radial fracture as an unsolved problem: complications associated with external fixation and pins and plaster techniques. J Hand Surg Am. 1986; 11(2):157-65. 8. Leung KS, Shen WY, Tsang HK, Chiu KH, Leung PC, Hung LK. An effective treatment of comminuted fractures of the distal radius.J Hand Surg Am. 1990; 15:11–17. 9. Jupiter JB. Complex articular fractures of the distal radius: classification and management. J Am AcadOrthop Surg. 1997; 5:119–129. 10. Lichtman DM, Bindra RR, Boyer MI, et al. Treatment of distal radius fractures. J Am AcadOrthop Surg. 2010; 3:180–189. 11. Schmalholz A. External skeletal fixation versus cement fixation in the treatment of redislocated Colles’ fracture. ClinOrthop Relat Res 1990; 254: 236–241. 12. Cooney W.P, Linshield R.L, Dobyns J.H.External pin fixations for unstable Colle's fractures.J. Bone Joint Surg., 1979;(61-A): 840–845 13. Kongsholm J, Olerud.Plaster C. cast versus external fixation for unstable intra articular colles fractures Clin. Orthop., 1989;241: 57–65 14. Aro H, Koivunen T.Minor axial shortening of the radius affects outcome of colles' fracture treatment.J. Hand Surg.,1991;16 (3):392–398 15. McQueen MM, Michie M, Court-Brown CM. Hand and wrist function after external fixation of unstable distal radial fractures. ClinOrthopRelat Res 1992; 285: 200–204. 16. Thomas E. Trumble , Susan R. Schmitt,, Nicholas B. Vedder, Factors affecting functional outcome of displaced intra-articular distal radius fractures The Journal of Hand SurgeryVolume 19, Issue 2, March 1994, Pages 325-340 17. Trumble TE, Culp RW, Hanel DP, Geissler WB, Berger RA. Intra-articular fractures of the distal aspect of the radius. J Bone Joint Surg Am 1998; 80:582-600. Abstract
References