Extra articular fracture of distal end radius managed by multiple intramedullary antegrade k wire

Dr Rajendra W. Baitule; Dr Sanjeev V Jaiswal; Dr Sankalp Makarande; Dr Suraj Singh

Volume : VIII, Issue : VII, July - 2019

Extra articular fracture of distal end radius managed by multiple intramedullary antegrade k wire

Dr Rajendra W. Baitule, Dr Sanjeev V Jaiswal, Dr Sankalp Makarande, Dr Suraj Singh

Abstract :

Purpsose –Distal end radius comprise of 17% fracture in adults. No other fracture has a greater potential to devastate hand functionThe causes of injury are fall on outstretched hand, work related accidents, car accidents, sport injuries. Extraarticular fracture of distal end radius can be managed by multiple intramedullary antegrade k wire. In our experience, multiple intramedullary antegrade K–wire will provide a better purchase in the distal fragment. Severely comminuted intra–articular fractures and Barton’s fracture were not included in this study. Methods–Total 30 cases were included in the study. the cases were treated by multiple intramedullary antegrade k wire and all cases were given below elbow pop slab after for 3 weeks.Patients fracture healing was checked radiologically at 10 day , 21 day and 45 day postoperatively. Patients were reviewed for removal of wire on 45 days. Anatomical and functional outcomes were then evaluated in all the patients. Results– This study achieved excellent results in 24 patients ,good in 4 patients,fair in 1 patients,poor in 1 patients evaluated as per the criteria suggested by Green and Oein score (cooney`s modification). in this study , 8 pts had wrist pain and stiffness and 6 pts had finger stiffness as their post operative complication. pain and stiffness in wrist and finger stiffness significantly improved after physiotherapy. Our case series attributes to 93% of excellent to good results and 4% of fair 3%of poor results. Conclusion–1.Treatment of comminuted fractures of the distal end of the radius by with intermedullary antegrade Kirschner wires is an effective method of maintaining reduction 2.This is simple for fracture ﬁxation with preservation of fracture haematoma. 3.Shorter period of surgery with minimal exposure . 4. Minimum invasive surgery with minimum expertise.