Objective: To evaluate functional and radiological outcome of close reduction and Percutaneous pinning and plaster for fractures of distal radius.
Study design: Descriptive case series
Place &Duration of Study: Department of Orthopedics surgery at Mercy teaching Hospital ,Peshawar Medical College and Hayatabad Medical Complex ,Peshawar ,KPK, Pakistan from June 2010 to April 2012.
Methodology: This was prospective study included 50 patients of age more than 15 years of either sex with AO type A and C1 and Fernandez type I and III distal radius fracture. After close manipulation and percutaneous K wiring, plaster cast was applied for 6 weeks. Immediate postoperative and at 6th week X ray of wrist taken for measurement of radial height and volar tilt. Subjective satisfaction of every patient according to Saito chart was evaluated after 6 months. Data was analyzed with SPSS version 14.
Results: There were total 50 patients with 34 (68%) males and 16 (32%) females. Mean age was 36.46 years (range 17-60 years). Assessment of postoperative radiographs showed that the average radial height was 10.80 mm (range = 8â€“14 mm) and volar tilt was 4.50° (range = âˆ’4â€“11°) on immediate postoperative radiographs. At the time of removal of pin-in-plaster and percutaneous K-wires, the average radial height was 10.00 mm (range = 7â€“13 mm), and the volar tilt was 4.32° (range = âˆ’4â€“11°).Subjective satisfaction frequency was excellent in 44(88%) cases and good &fair in 06(12%) cases according to Saito Chart.
Key words: Distal radius fracture, K-wire fixation, Pin in plaster.
Conclusion: Pin and plaster is good minimal invasive technique for close reduction and its maintenance during healing process with excellent functional outcome.
Distal radius fracture, K-wire fixation, Pin in plaster