External fixator and K wire- A versatile tool in distal end radius fractures

Authors : Kaushal Anand, Hriday Acharya, Satvik Patel, Shalin Shah

DOI : 10.18231/2395-1362.2018.0011

Volume : 4

Issue : 1

Year : 0

Page No : 48-52

Introduction: Distal end of the radius fractures are common injuries and are the commonest bony injury around the wrist. The logical treatment need to be planned based on specific fracture configuration, the extent of displacement, degree of articular disruption, stability and many other factors. The present study is intended to assess results of closed reduction, K wiring and external fixator in Fractures of Lower end Radius/ulna in 40 patients classified according to Frykman’s classification.
Materials and Methods: This is a retrospective study of 40 cases of distal end radius fractures selected randomly over a period one year from March 2016 to March 2017.
Observation and Results: Out of 40 patients in the study most of them were male with the mean age of patients being 44.72.Injury was commonly due to fall on out stretched hand with no associated injuries signifying it is caused by low energy trauma. Most of the patients were of Frykman type III and IV. The average period for intermittent mobilization is between 6 to 7 weeks. 90% patients have 10‐22 degrees of range of radial inclination. Most patients developed a good range of movement post-op.  Few complications were reported with pin tract infection being present in 5% cases.
Conclusion: We have studied 40 patients of distal end radial fracture treated with external fixator and K wires. It is simple and inexpensive implant. Technique is less demanding for surgery. It causes minimal soft tissue interference. Elbow and fingers can be mobilized immediate post operatively. It maintains reduction and provides stability to fracture fixation. Period of immobilization was short. Complication rates are comparatively low in our study. Most patients had excellent to good results. Its ease of use and successful results make external fixator and K wire versatile tool for treatment of these fractures.

Keywords: Distal end radius, External fixator, K wires.


Citation Data


Related Articles

Original Research Article Comparision of outcomes of posterior cruciate ligament substituting vs retaining in total knee arthroplasty-a prospective, randomised, open labelled study of 30 cases

Chiranji Lal Saini, Vinod K Gautam, Vishal M Mehta

A comparative study of recent neuroimaging techniques to show temporal region is the most common site in focal epilepsy irrespective of age

Jaishree Tapadia, Rahul Mittal

Study of various laboratory parameters in COVID-19 patients at a tertiary care center

Lalit Kumar, Nupur Kaushik, Rajdeep Singh, Harendra Kumar, Ashish Gautum

Maternal and fetal outcome in HIV infected pregnant women-A two year study at tertiary hospital

Sunanda N, Ramna Jagruti

A study to assess the cholesterol levels in pleural fluid and its role in differentiate between exudative and transudate pleural effusion

Chandrik Babu S R, Raghurama Sharvegar

Efficacy of preoperative oral melatonin on post operative pain in patients undergoing infraumbilical surgeries under subarachnoid block: A double blind randomized control study

Nethra S.S, Madhu K. P, Sagar Srinivas K, Sudheesh K, Shubha. S

An evaluation of efficacy of addition of dexmedetomidine /clonidine to fentanyl in attenuation of pressor response of laryngoscopy and intubation: A prospective double blind randomized controlled trial

Rekha Meena, Lalit Kumar Raiger, Yogendra Singhal

Clinical profile and surgical outcome of patients with pseudo-exfoliation syndrome undergoing cataract surgery - A retrospective study

Nanthene Rajmohan*, Venipriya, Hannah Ranjee Prasanth, Ravichandran Kandasamy

Prevalence of childhood obesity and its determinants among rural children of B G Nagara

Asharani N, Rahul H V, Aliya Nusrath