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Background: Selection of method of treatment of Colles fracture depends upon age, occupation, dominant hand, type of fracture, co-morbid conditions and nature of wound. Even in the treatment of fracture in elderly patients, orthopaedic surgeon must have more thresholds for intervention in an unstable and displaced fracture than young one. There is difference in the outcome of fracture stabilisation of Colles fracture, so we have designed this study to evaluate the result of treatment of this fracture by closed reduction and plaster cast immobilisation alone or by K-wire fixation and plaster cast immobilisation.Material and Method: As per exclusion and inclusion criteria 64 patients with fracture of distal and of radius were enrolled for this study and equally divided into two groups. Patients were assessed clinically for range of movement, fracture union and by radiologically for radiological parameters like, volar tilt which was expressed as degree from neutral position radial inclination and radial length. The range of movement was measured and compared to the normal side after 3 months for assessment of daily life activities Gartland and wereley score was used, in the form of excellent, good, fair and poor.Result: Overall evaluation the result was excellent in 2 (6.25%) patient in group A and 4 (12.5%) in group B. It was good in 6 (18.75%) patents in group A and 18 (56.25%) patients is group B. 20 (62.5%) patients in group A have fair result and 10 (31.25%) patient in group B have fair result. Result was poor in 4 (12.5%) patient in group A and 1 (3.125%) in group B.Conclusion: The overall evaluation result of two modalities of treatment, K-wire fixation has statistically significant better result than cast immobilisation alone. More patient in K- wire group has good result (56.25%) then closed reduction group but in closed reduction group fair result was more (62.5%).

international journal of orthopaedics sciences

A comparative evaluation closed reduction with percutaneous K-wire fixation versus closed reduction of extra articulur fracture of distal end of radius