Abstract
Displaced Colles’ fractures are generally treated by closed reduction and below elbow cast application. Malunion is a common complication resulting in pain, mid carpal instability and post-traumatic arthritis. Fracture stabilization by Kirschner wire is a simple, minimally invasive technique, which helps to prevent displacement of the fracture thereby
minimizing complications.
Aim To study comparative evaluation of functional outcome in Colles’ fracture treated conservatively by closed reduction and cast and closed reduction, Kirschner wire and cast.
Materials and Methods Thirty adult patients with Colles’ fracture were assigned into two groups after informed consent. Group 1 cases were treated with closed reduction and plaster cast application, and Group 2 cases were treated with closed reduction, Kirschner wire and plaster cast application. The functional outcome of cases was assessed by Mayo wrist score (0 to 100 points) as modified by Cooney and Bussey and the functional as well as radiological outcome were assessed by the Demerit scoring system modified by Saito.
Results According to Mayo functional score in Group 1, we had 2 good, 10 satisfactory and 3 poor results, and in Group 2, we had 8 excellent results, 6 good and 1 satisfactory results. According to a Modified demerit point system of Saito in Group 1, we had 12 fair and 3 poor results and in Group 2 we had 9 excellent and 6 good results.
Conclusion We conclude that percutaneous Kirschner wire pinning is a minimally invasive technique that provides an effective method of maintaining fracture reduction.
Keywords
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