Open AccessA Comparative Study of Functional Outcome of Extra Articular Distal Radius Fractures Treated with POP Casing Versus Percutaneous Pinning
Author(s) -
Venkateswara R. Dasari,
Shyam Kumar Chinta,
Ayyappa Naidu Ch. R.S.,
Prudhvi Pinnaka
Publication year - 2022
Publication title -
journal of evolution of medical and dental sciences
Language(s) - English
Resource type - Journals
eISSN - 2278-4802
pISSN - 2278-4748
DOI - 10.14260/jemds/2022/34
Subject(s) - percutaneous pinning , medicine , casing , radius , distal radius fracture , percutaneous , surgery , radiological weapon , computer security , wrist , computer science , petroleum engineering , humerus , engineering
BACKGROUND Fractures of the distal radius are common among elderly patients. These injuries result from low energy force. Depending on the functional demand and the nature of the fracture, these fractures may be treated with some form of surgical stabilization. The recovery period of this fracture can be substantial, and the type of treatment for activities of daily living can be significant. The purpose of this study was to assess the functional outcome of extra-articular distal radius fractures treated with casing alone or pinning with casing. METHODS A comparative randomized study comprised of 30 patients with extra-articular distal radius fractures. 15 patients from each group were followed at six weeks and 12 weeks respectively, and the functional outcome was assessed at the end of 3 months after the initiation of treatment. RESULTS Patients who were treated by percutaneous pinning have no better functional outcome than those treated with casing alone, but the complication rate is higher in the casing group than those in the pinning group (P-value: 0.010). The radiological and functional outcome has no statistical difference. CONCLUSIONS Both the methods, i.e., casing alone and percutaneous pinning with the casing, have a similar functional outcome, but pinning is superior to casing since there were fewer complications in the pinning group. KEY WORDS Extra-Articular Distal Radius Fractures, Pinning, Casing