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Background: The present study was conducted to compare and contrast Kirschner wire fixation versus volar locking compression plating in the treatment of distal end radius fracture. Materials & Methods: The present study was conducted on patients of intraarticular distal radius fractures. Patients were divided into two groups, K-wire group and Volar plating group. Grading as per DASH score was used. Score <25 was excellent, 26-35 was good, 36-45 was moderate and >45 was poor. Results: Fall from height was mode of injury in 36.67%, fall on supinated hand was mode of injury in 13.33% and road traffic accident was mode of injury in 50% in k wire group. Fall from height was mode of injury in 3.33%, fall on supinated hand was mode of injury in 30% and road traffic accident was mode of injury in 66.67% in volar plate group. Out of 30 patients in k wire group14 were type III, 4 were type IV, 9 were type VII, 3 were type VIII. Out of 30 patients in volar plate group-7 were type III, 2 were type IV, 14 were type VII, 7 were type VIII. 3 patients had NSWP, 6 Patient had SI, 2 Patient had WS, 2 patients had USP in volar plate group. 4 Patient had MKW, 4 patients had NSWP, 2 patients had USP, 3 patients had SI, 3 patients had WS, in k wire group. Conclusion: Open reduction and internal fixation with a volar locking plate and closed reduction with percutaneous Kirschner wire fixation provide comparable excellent clinical and radiographic results in patients with distal radial fractures.

Percutaneous fixation with Kirschner wires versus volar locking plate fixation in adults for displaced intra articular fracture of distal radius