Online ISSN: 2515-8260

Keywords : ligamentotaxis

Functional Outcome of Column Specific Fixation for Intraarticular Distal Radius Fractures with K Wires

Dr. A Manikandarajan, Dr. Dhanpal Singh, Dr. M.Gurumoorthy,Dr. J B Beffrin Rex,Dr. M.Gurumoorthy .

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 1-7

Background: Distal radius fractures shows Bimodal distribution about 25% of the fractures in paediatric age group and 18% fractures in adults. The goals of treating distal radius fractures include articular congruity, radial alignment and length, functional mobility, stability.
Aim: To assess the functional outcome of column specific fixation for intraarticular distal radius fractures with k wire
Material and Methodology: Study was conducted between July 2019 and July 2021 in department of orthopaedics, RMMCH, 23 patients with intra articular distal radius fracture were included in our study. Follow up was done for a minimum of 6 months period, functional outcome was assessed using the Quick DASH scoring system
Results: Of the 23 patients based on our quick DASH scores

Excellent to good results were obtained in 20 patients
Satisfactory results were seen in 3 patients
None of the patients had poor results
Two patients had wrist stiffness attributed to the non compliance with physiotherapy for mobilisation
One patient had mal union due to malreduction attributed to the late presentation to hospital

Conclusion: Column specific fixation with k wire is a less invasive method of treatment of intraarticular distal radius fractures. Although complications like stiffness and malunion were noted it was due to non compliance and late presentation. Hence we would like to conclude that column specific fixation of intraarticular distal radius fractures with k wire shows good long term functional outcome.