Comparative Study of Treatment of Distal end Radius Fracture by Non-Operative Method Versus Operative Method with Joshi’s External Stabilisation System

Abstract

Background: Distal end radius fractures are the most common fracture. There are various treatment modalities,which include closed reduction and casting, closed reduction and percutaneous pinning, open reduction, andinternal fixation with a variety of implants. A minimally invasive technique like JESS could be ideal technique.Method: 30 patients with distal end radial fractures were selected. Out of 30 patients, 15 were treated with closedreduction and casting, and the remaining 15 were treated with the JESS technique approach. Patients of bothtechniques were studied haematologically and radiologically before undergoing these comparative technologicalstudies, and the pros and cons of both techniques were noted. to justify the ideal method for a lower distal endfracture of the radius.Results: The fewest post-surgical complications were observed with JESS techniques as compared to theconservative group. Excellent outcomes were observed in the JESS technique treatment, with significant statisticalvalues in terms of good anatomical reduction and stabilisation; early mobilisation with regaining full ROM wasjustified.Conclusion: From the present study, it is concluded that closed reduction with JESS fixation under the C arm isa simple, minimally invasive, and cost-effective technique that provides better stability in the treatment of distalend radius fractures with not only a good clinical and radiological outcome but also minimal complications ascompared to conservative treatment.