A Comparative Study On Functional Outcome Of Extra -Articular Distal Radius Fracture Treated With Plaster Versus Percutaneous Pinning In Tertiary Care Centre
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 9784-9789
Abstract
Background:The procedure has fewer successful outcomes in aged, osteoporotic individuals, and in highly comminuted fractures, and is consequently deemed inappropriate for these situations. Some authors, however, still advocate for its use because of how easy it is to implement and how little disruption it causes compared to other approaches like external fixation. Objectives: To compare the functional outcome of extra articular distal radius fracture treated with plaster immobilization versus percutaneous pinning. To study the complications faced, the time taken for fracture union in treating both groups. Methodology: It was a Descriptive Cohort study conducted in a tertiary centre for a period of 18 months duration. The study participants were patients of both the genders with age between 40 years to 65 years with closed extra-articular distal radius fracture admitted during the study period. Results: fracture union time is better in Percutaneous pinning group compared to plaster immobilisation group and association is statistically significant (P<0.05) Percutaneous pinning group has better VAS score compared to Plaster immobilization group at 3rd and 6th month and the association is statistically significant (P<0.05), Functional outcome is better in percutaneous pinning compared to Plaster immobilization group and association is statistically significant (P<0.05). Conclusion: Displaced fractures of the distal radius are considered to be unstable when alignment cannot be maintained in a forearm cast after closed reduction, but this definition applies retrospectively. Previous studies have attempted to identify risk factors for instability.in the present study following were the findings Mean fracture union time is better in Percutaneous pinning group compared to plaster immobilization group Percutaneous pinning group has better SF36 score compared to Plaster immobilization group at 1st, 3rd and 6th month and the association is statistically significant (P<0.05).- Article View: 5
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