COMPARATIVE ANALYSIS AND FUNCTIONAL OUTCOME OF EXTRAARTICULAR DISTAL RADIUS FRACTURES TREATED WITH CLOSED REDUCTION AND PERCUTANEOUS PARALLEL VERSUS CROSS PINNING

Abstract

Introduction: Different treatment modalities can use to reduce and stabilize distal end radius articular fractures like Closed reduction, Percutaneous pinning, Ligamentotaxis, Open reduction and internal xation. In the absence of adequate xation, fractures tend to displace to their prereduction position, resulting in pain, malunion, restricted range of motion, and post traumatic arthritis, weakness at wrist joint and/ or Sudeck's Osteodystrophy. A total of 30 patients with extraarticular distal radius frac Material And Methods: tures were enrolled in the study. All distal radius fractures treated with closed reduction percutaneous pinning parallel or crossed, post operatively evaluated for radiological outcome by radiographs and functional outcome by Gartland & Werley score. Radiological score w Results: as done using Sarmiento's modication of Lindstrom criteria. In crossed k wire group 73% of patients obtained excellent outcome, 20% patient showed goof outcome and 7% patients showed fair outcome. In parallel k wire group 53% of patients showed excellent results while 27% and 20% obtained good and fair outcomes respectively. Functional outcome evaluated using Gartland and Werley scoring system. In crossed k wire group 60% of patients obtained excellent outcome, 20% patient showed good outcome and 20% patients showed fair outcome. In parallel k wire group 60% of patients showed excellent results while 13% and 20% obtained good and fair outcomes respectively and 7% showed poor outcome. K wire xation can be used Conclusion:- as a primary modality of treatment of distal radius fractures with clear advantage of reduced time required for imaging and early commencement of physiotherapy for better functional outcome. Our study concludes both groups were comparable in terms of radiological and functional out comes but subjective evaluation was slightly better in crossed pinning group with statistically no signicant difference. Hence, both the modalities can be used as a good alternative to open surgery depending up on the fracture type, patients' health status and surgeons' choice.