Functional outcome with kirschner wire fixation versus volar locking plate fixation for management of patients with dorsally displaced fractures of distal radius

Naveed Ullah Khan; Abdul Qadir Khan; Muhammad Jameel; Hafiz Muhammad Yaqoob; Zeeshan Khan; Mubashar Ahmad Bajwa

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Functional outcome with kirschner wire fixation versus volar locking plate fixation for management of patients with dorsally displaced fractures of distal radius

Author(s)

Naveed Ullah Khan Holy Family Hospital, Rawalpindi and Gomal Medical College,DI Khan,Pakistan

Abdul Qadir Khan Departments of Orthopedic Surgery, Combined Military Hospital, Rawalpindi, Federal General Hospital, Islamabad,Pakistan

Muhammad Jameel Holy Family Hospital, Rawalpindi and Gomal Medical College,DI Khan,Pakistan

Hafiz Muhammad Yaqoob Holy Family Hospital, Rawalpindi

Zeeshan Khan Federal General Hospital,Islamabad,Pakistan

Mubashar Ahmad Bajwa Holy Family Hospital, Rawalpindi and Gomal Medical College,DI Khan,Pakistan

Abstract

Objective: To determine functional outcome by mean dash score with Kirschner wire fixation versus volar locking plate fixation for management of patients with dorsally displaced fractures of distal radius Methodology: A total of 100 patients of dorsally displaced fractures of distal radius (50 in each group) were included in this study. Randomization was done by the lottery method. Group A fractures were fixed by percutaneous k-wires while in group B fractures were fixed by volar locking plate. Results: Mean age of the patients was 46.70±8.86 and 45.72±9.11 years in group A and B, respectively. There were 34 males (68%) in group A and 33 males (66%) in group B while females were 16 (32%) in group A and 17 (34%) in group B. Right side was involved in 41 patients (82%) of group A and 37(74%) of group B. Left side was involved in 9 patients (18%) of group A and 13(26%) of group B. Mean dash score in group A was 31.49±3.17 and in group 20.96±3.17 (p<0.001). Conclusion: Use of a volar locking plate resulted in better early post-operative function. Volar locking plate achieved better radiographic reduction and measured grip strength. An earlier recovery of function may be of advantage to patients.

Publication Details

Page(s) 107-110

DOI DOI not available

Published Journal: Rawal Medical Journal, Volume: 45, Issue: 1, Year: 2020

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Keywords

Fixation devices, Kirschner wires radius fractures.