Compariison of Functtiionall Outtcomes aftter Vollar Pllattiing versus Conventtiionall PercuttaneousKiirschner Wiire Fiixattiion iin Diisttall Radiius Fracttures
DOI:
https://doi.org/10.51253/pafmj.v74iSUPPL-2.11878Keywords:
Distal Radius Fractures, Percutaneous K Wiring, Volar Plate.Abstract
Objective: To compare the functional outcomes after volar plating versus conventional percutaneous K wire fixation in
treatment of distal radius fractures.
Study Design: Quasi-experimental study
Place and Duration of Study: Orthopedic Department, Combined Military Hospital, Rawalpindi Pakistan, from Aug 2023 to
Jan 2024.
Methodology: Using consecutive non probability sampling technique, patients with displaced distal radius fractures who met
the inclusion criteria were randomized in 2 groups (65 patients in each group) and received either volar plating or
percutaneous Kirschner wire fixation. Functional outcome was recorded at 06 weeks, 03 months and then 06 months, using
quick DASH score.
Results: we included 130 patients meeting inclusion criteria and equally divided them. Group-1 received open reduction and
internal fixation using volar plate as definitive treatment and Group-2 received closed reduction and percutaneous Kirschner
wire fixation. we found statistically significant functional outcome difference at 6 weeks (p=0.01), but at 03 months and 06
months difference in functional outcomes in 2 groups was not found to be statistically significant (p-value 0.18 and 0.27
respectively)
Conclusion: The differences in functional outcomes between two modalities decrease with time and both interventions have
equivalent outcomes in long run.
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References
Shapiro LM, Kamal RN; Management of Distal Radius Fractures
Work Group; Nonvoting Clinical Contributor; Nonvoting
Oversight Chairs; Staff of the American Academy of Orthopaedic
Surgeons and the American Society for Surgery of the Hand.
Distal Radius Fracture Clinical Practice Guidelines-Updates and
Clinical Implications. J Hand Surg Am 2021; 46(9) :807-811.
https://doi.org/10.1016/j.jhsa.2021.07.014
Kirschner Wire Fixation
Pak Armed Forces Med J 2024; 74(Suppl-2): S309
Karantana A, Downing ND, Forward DP, Hatton M, Taylor AM,
Scammell BE et al. Surgical treatment of distal radial fractures
with a volar locking plate versus conventional percutaneous
methods: a randomized controlled trial. J Bone Joint Surg Am
; 95(19): 1737-1744. https://doi.org/10.2106/JBJS.L.00232
Mauck BM, Swigler CW. Evidence-Based Review of Distal Radius
Fractures. Orthop Clin North Am 2018; 49(2): 211-222.4. Quadlbauer S, Pezzei C, Jurkowitsch J, Rosenauer R, Kolmayr B,
Keuchel T et al. Rehabilitation after distal radius fractures: is there
a need for immobilization and physiotherapy? Arch Orthop
Trauma Surg 2020; 140(5): 651-663.
https://doi.org/10.1007/s00402-020-03367-w
Bachoura A, Shin EK. Emerging Technologies in Distal Radius
Fracture Fixation. Curr Rev Musculoskelet Med 2019; 12(3): 369-
https://doi.org/10.1007/s12178-019-09568-0.
Hess DE, Carstensen SE, Moore S, Dacus AR. Smoking Increases
Postoperative Complications After Distal Radius Fracture
Fixation: A Review of 417 Patients From a Level 1 Trauma Center.
Hand (N Y) 2020; 15(5): 686-691.
https://doi.org/10.1177/1558944718810882
Greig D, Silva M. Management of Distal Radius Fractures in
Adolescent Patients. J Pediatr Orthop 2021; 41(Suppl 1): S1-S5.
https://doi.org/10.1097/BPO.0000000000001778
Cay P, Leung B, Curlewis K, Stone A, Roper T, Ricketts D.
Quotation errors related to the Distal Radius Acute Fracture
Fixation Trial paper. J Hand Surg Eur Vol 2021 Jul;46(6):654-658.
https://doi.org/10.1177/17531934211002985
Vaghela KR, Velazquez-Pimentel D, Ahluwalia AK, Choraria A,
Hunter A. Distal radius fractures: an evidence-based approach to
assessment and management. Br J Hosp Med (Lond) 2020; 81(6):
-8. https://doi.org/10.12968/hmed.2020.0006
Vakhshori V, Alluri RK, Stevanovic M, Ghiassi A. Review of
Internal Radiocarpal Distraction Plating for Distal Radius
Fracture Fixation. Hand (N Y). 2020; 15(1): 116-124.
https://doi.org/10.1177/1558944718787877
Sengab A, Krijnen P, Schipper IB. Risk factors for fracture
redisplacement after reduction and cast immobilization of
displaced distal radius fractures in children: a meta-analysis. Eur J
Trauma Emerg Surg 2020; 46(4): 789-800.
https://doi.org/10.1007/s00068-019-01227-w
Bhan K, Hasan K, Pawar AS, Patel R. Rehabilitation Following
Surgically Treated Distal Radius Fractures: Do Immobilization
and Physiotherapy Affect the Outcome? Cureus 2021; 13(7):
e16230.
https://doi.org/10.7759/cureus.16230
Gottschalk MB, Wagner ER. Kirschner Wire Fixation of Distal
Radius Fractures, Indication, Technique and Outcomes. Hand
Clin 2021; 37(2): 247-258.
https://doi.org/10.1016/j.hcl.2021.02.007
Cognet JM, Bauzou F, Louis P, Mares O. Using Ultrasonography
During the Fixation of Distal Radius and Finger Fractures. Hand
Clin 2022; 38(1): 109-118.
https://doi.org/10.1016/j.hcl.2021.08.012
Lubbe RJ, Kokmeyer DT, Young CP. Distal Radius Fractures:
Recognizing and Treating Complex Fracture Patterns. J Orthop
Trauma 2021; 35(Suppl 3): s33-s36.
https://doi.org/10.1097/BOT.0000000000002209
Gutiérrez-Espinoza H, Araya-Quintanilla F, Olguín-Huerta C,
Gutiérrez-Monclus R, Valenzuela-Fuenzalida J, Román-Veas J, et
al. Effectiveness of surgical versus conservative treatment of
distal radius fractures in elderly patients: A systematic review
and meta-analysis. Orthop Traumatol Surg Res 2022; 108(5):
https://doi.org/10.1016/j.otsr.2022.103323
Sobel AD, Calfee RP. Distal Radius Fractures in the Athlete. Clin
Sports Med 2020; 39(2): 299-311.
https://doi.org/10.1016/j.csm.2019.10.005
He JJ, Blazar P. Management of High Energy Distal Radius
Injuries. Curr Rev Musculoskelet Med 2019; 12(3): 379-385.
https://doi.org/10.1007/s12178-019-09555-5
Alter TH, Varghese BB, DelPrete CR, Katt BM, Monica JT.
Reduction Techniques in Volar Locking Plate Fixation of Distal
Radius Fractures. Tech Hand Up Extrem Surg 2022; 26(3): 168-
https://doi.org/10.1097/BTH.0000000000000380
Ahmad AA, Yi LM, Ahmad AR. Plating of Distal Radius Fracture
Using the Wide-Awake Anesthesia Technique. J Hand Surg Am
; 43(11): 1045.e1-1045.e5.
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