Volume - 13 | Issue-1
Volume - 13 | Issue-1
Volume - 13 | Issue-1
Volume - 13 | Issue-1
Volume - 13 | Issue-1
Distal radius fractures are the most common fractures of upper extremities. Amongst the numerous surgical options for managing DRF’s, open reduction volar plate fixation, K wire fixation are the most commonly used procedures. Objective: in present study we compared both functional and radiological outcomes of AO classification type C1 distal radial fractures managed using volar locking plates and percutaneous K-wire fixation. Materials and methods: 30 patients who got admitted to Department of Orthopedics, Government General Hospital were assigned into 2 groups randomly. 15 patients were included in group 1, in which open reduction and internal fixation using volar locking plates was performed, whereas 15 patients were included in group 2, in which closed reduction and percutaneous K-wire fixation was done. Functional outcomes were evaluated according to the Gartland-Werley scoring system in both groups. Radiological outcomes were assessed using The Knirk and Jupiter scoring system (used to classify arthritic changes) and Stewart’s radiological assessment criteria (used in angular assessments). Grip strength measurement was performed. Results: At the end of the follow-up, Significant differences were detected in the Gartland-Werley score and the mean Knirk and Jupiter score between the two groups (P<0.05). No significant difference was found in the mean Stewart score between the groups (P>0.05). Conclusion: It was concluded that K-wire fixation seems insufficient in distal radius fractures of the complex intra-articular type.