
Comparative evaluation in the measurement of the radial height, radial inclination, and ulnar variance in fracture distal end radius treated conservatively by closed reduction and cast and closed reduction, Kirschner wire and cast
Author(s) -
Rahul R Bagul,
Ashwin Deshmukh,
Anil Salgia,
Tushar Agarwal,
D.C. Rajani,
Mithu Sooknundan
Publication year - 2014
Publication title -
medical journal of dr. d y patil university/medical journal of dr. d.y. patil university
Language(s) - English
Resource type - Journals
eISSN - 2278-7119
pISSN - 0975-2870
DOI - 10.4103/0975-2870.140416
Subject(s) - kirschner wire , reduction (mathematics) , radius , orthopedic surgery , radial fractures , surgery , closed fracture , orthodontics , medicine , internal fixation , mathematics , wrist , geometry , computer security , computer science
Background: Fractures of distal radius continue to be the most common skeletal injury treated by orthopedic surgeons. The treatment of distal end radius fracture has changed over period. The aim of treatment of distal radius fracture is to obtain a good anatomical reduction and fixation and finally a good functional outcome. Objective: To study comparative evaluation in the measurement of the radial height, radial inclination and ulnar variance in fracture distal end radius treated conservatively by closed reduction and cast and closed reduction, Kirschner wire and cast. Materials and Methods: In the present prospective study, we are reporting our experience in 30 cases where comparative evaluation in the measurement of the radial height, radial inclination, and ulnar variance was done in fractures distal end radius treated conservatively by closed reduction and cast and closed reduction, K- wire, and cast technique. Results: As measured by Mayo functional score, we had 14 satisfactory and 1 poor result in the Group 1 (closed reduction and cast) while 8 excellent results and 7 good results in the Group 2 (closed reduction, Kirschner wire and cast). As measured with the modified demerit point system of Saito, in the Group 1 (closed reduction and cast), 11 had average results and 4 had fair results; and in our Group 2 (closed reduction, Kirschner wire and cast), 9 had excellent results and 6 had good results