Comparitive evaluation of various treatment modalities of fracture distal end radius
Robin Jindal, Ashish Chopra, Sumit Saini
Background: Distal end radius fracture is one of the most common fractures constituting 16% of all fractures. Mobility and wrist function is the most important aspect in the treatment. The choice of treatment should aim for minimal complications with optimal function. Objectives: In this study we compared three surgical approaches viz. open reduction and internal fixation with volar plating (ORIF), percutaneous k wire fixation and closed reduction with external fixation (CR + EF) for treatment of distal end radius fractures. Material and methods: Patients with fractures of distal end radius were taken for this study after obtaining their informed consent. This is a prospective study done at ESIC Hospital, Okla, New Delhi from November 2018 to November 2019. We compared radiological parameters of distal radius, duration of rehabilitation, complication and patient satisfaction of the respective methods. Results: According to Gartland and werely scoring, we saw results better in Plating (ORIF) compared to percutaneous K-wire and external fixation. ORIF with plating showed least dorsal tilt as compared with percutaneous K-wire and external fixation. Radial deviation was equal in all three cases. Conclusions: After comparing plating (ORIF) with CR + EF and percutaneous k wire fixation modality, results were analysed based on functional score, clinical and radiological criteria. Result is in favour of plating (ORIF) method which is a better method for treatment for these types of fractures with minimal complications.
Robin Jindal, Ashish Chopra, Sumit Saini. Comparitive evaluation of various treatment modalities of fracture distal end radius. International Journal of Orthopaedics Research, Volume 2, Issue 4, 2020, Pages 44-48