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Background: Fracture of lower end of radius is common fracture in orthopaedic practice. No age is immune to this fracture but commonly seen in elderly population. Till date there is no consensus in management of this fracture. Variety of treatment is available in literature from casting to plating of this fracture. Minimal invasive technique of percutaneous k-wire fixation and cast is cost-effective with better functional end results.Material and method: In this study, Frykman`s classification system has been used to describe the fracture types. Frykman type II and IV were more common fracture pattern. All patients were treated with percutaneous multiple k wires and cast. Cast and k- wires were removed after six weeks. Results: In this study thirty patients were treated by this technique. results were analysed according to Lindstrom`s criteria for anatomical and functional end results. All patients had good to excellent functional results. Discussion: Though this fracture is described sssince so many years, unsatisfactory results are also common. Percutaneous pinning is attempted to bridge the gap between conservative and more invasive procedures. This fracture is commonly seen in elderly population. Co-morbid medical conditions are highly present in these people. So any invasive procedure is not without any risk. This minimal invasive procedure is gold standard in these age groups. In this study most of the patient had good functional end results. Conclusion: Minimal invasive percutaneous Kirshner wire fixation is superior method of treatment for distal end radius fractures. There is very low incidence of complication and unsatisfactory results.

Functional and radiological outcome of unstable lower end radius fracture treated with percutaneous kirschner wires and cast in adults