A Comparative Study of Functional Outcome of Extra Articular Distal End Radius Fracture Treated with Percutaneous Pinning Versus Volar Plating in a Sample of Egyptian Population

Document Type : Original Article

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The Department of Orthopedic Surgery, Armed Forces Collage of Medicine

Abstract

Background: Distal end radius fractures are the common-est upper limb fractures that account for 17% of all upper ex-tremity injuries. There is an increasing trend for volar plat-ing rather than K wire fixation, which remained for long the golden standard fixation technique for such injuries. Aim of Study: To compare the clinical, functional and ra-diological outcome of volar plating versus K-wire fixation for extra articular dorsally displaced distal end radial fractures. Material and Methods: A randomized, prospective com-parative study was carried out on 50 patients diagnosed as Coll’s fracture; they were divided into two groups. The first group treated with percutaneous K wires and second group was treated with volar plating. The duration of follow-up was one year by X-rays and patient rated wrist evaluation (PRWE). Results: Significant improvement of the range of motion, radiological union and PRWE score in the first 3 months in the plate group but there were no significant difference at the end of the first year. No statistical difference of significant importance was noted regarding the complications rate. Conclusion: Percutaneous pinning is safe, cheap and easy technique to maintain reduction in displaced, extra-articular distal radial fractures, with minimal complications.

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