Trends in Clinical and Medical Sciences
Special issue: Indian Medical Research Views and Findings on Last 5 years (2023), pp. 209 – 214
ISSN: 2791-0814 (online) 2791-0806 (Print)
DOI: 10.30538/psrp-tmcs2023.si-imrv032
ISSN: 2791-0814 (online) 2791-0806 (Print)
DOI: 10.30538/psrp-tmcs2023.si-imrv032
Prospective study on outcome of distal radial fractures treated with closed reduction and percutaneous pinning
Dr. Agam Kant\(^{1,*}\), Dr. Lakhan Singh Maravi\(^{2}\), Dr. Ashish Sirsikar\(^{3}\) and Dr. Ashok Vidyarthi\(^{4}\)
\(^{1}\) Postgraduate Resident, Department of Orthopaedics, NSCB Medical College, Jabalpur, M.P.
\(^{2}\) Professor, Department of Orthopaedics, N.S.C.B. Medical College and Hospital, Jabalpur.
\(^{3}\) Associate Professor, Department of Orthopaedics, N.S.C.B. Medical College and Hospital, Jabalpur.
\(^{4}\) Professor & Head, Department of Orthopaedics, N.S.C.B. Medical College and Hospital, Jabalpur.
Correspondence should be addressed to Dr. Agam Kant at agamkant58@gmail.com
Copyright © 2023 Dr. Agam Kant, Dr. Lakhan Singh Maravi, Dr. Ashish Sirsikar and Dr. Ashok Vidyarthi. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: April 11, 2023 – Accepted: May 21, 2023 – Published: May 24, 2023
Abstract
Background: Vast majority of fractures of distal radius are articular injuries that result in disruption of both radiocarpal and radioulnar joints. Therefore, this study evaluates the functional and radiological outcomes of distal radius fractures treated by percutaneous pinning in ulno-carpal joint and distal radius.
Material and Methods: A Prospective Interventional Study conducted at Department of Orthopaedics, N.S.C.B. Medical College and Hospital, Jabalpur (M.P.) with the study population of patients attending OPD and casualty diagnosed with distal Radius fracture from the duration of 1st March 2021 to 31st June 2022. Total of 50 Sample size was taken estimated through the formula \(n = \frac{z^2 \times p \times q}{d^2}\) . Data analysis was done through the IBM software SPSS and the statistical association was fund with the Confidence Interval of 95% and p-value>0.5.
Results: Total of 50 patients, 30 were male, and 20 were females, who were assessed through follow-up. According to Sarmiento score of range of motion, 21 Patients have excellent score (0-2),12 patients have good score (3-8), 12 patients have fair (9-20), and 5 patients have poor (above 21).
Conclusion: Closed reduction and percutaneous K-wire fixation is a less intrusive, safer, and successful approach to preserve the reduction, avoid radial collapse during healing, and maintain DRUJ stability even when the fracture is extensively comminuted, intra-articular, or unstable.
Material and Methods: A Prospective Interventional Study conducted at Department of Orthopaedics, N.S.C.B. Medical College and Hospital, Jabalpur (M.P.) with the study population of patients attending OPD and casualty diagnosed with distal Radius fracture from the duration of 1st March 2021 to 31st June 2022. Total of 50 Sample size was taken estimated through the formula \(n = \frac{z^2 \times p \times q}{d^2}\) . Data analysis was done through the IBM software SPSS and the statistical association was fund with the Confidence Interval of 95% and p-value>0.5.
Results: Total of 50 patients, 30 were male, and 20 were females, who were assessed through follow-up. According to Sarmiento score of range of motion, 21 Patients have excellent score (0-2),12 patients have good score (3-8), 12 patients have fair (9-20), and 5 patients have poor (above 21).
Conclusion: Closed reduction and percutaneous K-wire fixation is a less intrusive, safer, and successful approach to preserve the reduction, avoid radial collapse during healing, and maintain DRUJ stability even when the fracture is extensively comminuted, intra-articular, or unstable.
Keywords:
Prospective Interventional Study; Percutaneous Pinning technique; Distal Radius fracture; Sarmiento score.