Functional and Radiological Outcomes of Comminuted Distal End of Radius Fractures Treated by Multiplanar Kirschner Wire Fixation: A Case Series
Introduction: Distal radius fractures (DRFs), which make up around 18%, are the most frequent fractures of the upper limb among all fractures. The common mechanism is falling on an outstretched hand. High-energy injuries can also be a cause of injury. Percutaneous pinning, a minimally invasive proce...
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Jaypee Brothers Medical Publisher
2025-01-01
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| Series: | Journal of Orthopedics and Joint Surgery |
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| Online Access: | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1179 |
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| author | Rahul Rajeendran Vinod Rajaram Shyam Mohan Senthil Loganathan Arunagiri Shunmugavel |
| author_facet | Rahul Rajeendran Vinod Rajaram Shyam Mohan Senthil Loganathan Arunagiri Shunmugavel |
| author_sort | Rahul Rajeendran |
| collection | DOAJ |
| description | Introduction: Distal radius fractures (DRFs), which make up around 18%, are the most frequent fractures of the upper limb among all fractures. The common mechanism is falling on an outstretched hand. High-energy injuries can also be a cause of injury. Percutaneous pinning, a minimally invasive procedure, was devised to maintain the reduction of the fracture following manipulation and prevent redisplacement.
Materials and methods: A prospective study was conducted during the period from 2022 to 2024, with a total of 20 cases, of which 14 were male and 6 were female patients, with a mean age of 43 years. Closed, community DRFs were included, and patients with open fractures, pathological fractures, and tumors were excluded. All the patients underwent initial radiography with an X-ray to classify the fractures. Patients were treated with multiplanar Kirschner wire (K-wire) fixation. Patients had functional assessments at 1-, 3-, and 6-month intervals following surgery. X-rays were taken at each follow-up to evaluate the union.
Results: Around 90% of the patients had excellent outcomes, while 10% of the patients had pin tract infection, reflex sympathetic dystrophy, and fair to poor functional outcomes.
Conclusion: Multiplanar K-wire fixation is a minimally invasive, inexpensive treatment option with excellent results in these complex injuries. |
| format | Article |
| id | doaj-art-4fecf2164028426fbeefad350b9eb7ce |
| institution | OA Journals |
| issn | 2582-7863 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Orthopedics and Joint Surgery |
| spelling | doaj-art-4fecf2164028426fbeefad350b9eb7ce2025-08-20T02:08:31ZengJaypee Brothers Medical PublisherJournal of Orthopedics and Joint Surgery2582-78632025-01-0171717510.5005/jojs-10079-117913Functional and Radiological Outcomes of Comminuted Distal End of Radius Fractures Treated by Multiplanar Kirschner Wire Fixation: A Case SeriesRahul Rajeendran0Vinod Rajaram1Shyam Mohan2Senthil Loganathan3Arunagiri Shunmugavel4Department of Orthopedics, Dr M G R Educational and Research Institute, Chennai, Tamil Nadu, IndiaVinod R, Department of Orthopedics, Dr M G R Educational and Research Institute, Chennai, Tamil Nadu, India, Phone: +91 9113251470Department of Orthopedics, Dr M G R Educational and Research Institute, Chennai, Tamil Nadu, IndiaDepartment of Orthopedics, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, IndiaDepartment of Orthopedics, Dr M G R Educational and Research Institute, Chennai, Tamil Nadu, IndiaIntroduction: Distal radius fractures (DRFs), which make up around 18%, are the most frequent fractures of the upper limb among all fractures. The common mechanism is falling on an outstretched hand. High-energy injuries can also be a cause of injury. Percutaneous pinning, a minimally invasive procedure, was devised to maintain the reduction of the fracture following manipulation and prevent redisplacement. Materials and methods: A prospective study was conducted during the period from 2022 to 2024, with a total of 20 cases, of which 14 were male and 6 were female patients, with a mean age of 43 years. Closed, community DRFs were included, and patients with open fractures, pathological fractures, and tumors were excluded. All the patients underwent initial radiography with an X-ray to classify the fractures. Patients were treated with multiplanar Kirschner wire (K-wire) fixation. Patients had functional assessments at 1-, 3-, and 6-month intervals following surgery. X-rays were taken at each follow-up to evaluate the union. Results: Around 90% of the patients had excellent outcomes, while 10% of the patients had pin tract infection, reflex sympathetic dystrophy, and fair to poor functional outcomes. Conclusion: Multiplanar K-wire fixation is a minimally invasive, inexpensive treatment option with excellent results in these complex injuries.https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1179comminuted distal radiusmultiplanar kirschner wire fixation |
| spellingShingle | Rahul Rajeendran Vinod Rajaram Shyam Mohan Senthil Loganathan Arunagiri Shunmugavel Functional and Radiological Outcomes of Comminuted Distal End of Radius Fractures Treated by Multiplanar Kirschner Wire Fixation: A Case Series Journal of Orthopedics and Joint Surgery comminuted distal radius multiplanar kirschner wire fixation |
| title | Functional and Radiological Outcomes of Comminuted Distal End of Radius Fractures Treated by Multiplanar Kirschner Wire Fixation: A Case Series |
| title_full | Functional and Radiological Outcomes of Comminuted Distal End of Radius Fractures Treated by Multiplanar Kirschner Wire Fixation: A Case Series |
| title_fullStr | Functional and Radiological Outcomes of Comminuted Distal End of Radius Fractures Treated by Multiplanar Kirschner Wire Fixation: A Case Series |
| title_full_unstemmed | Functional and Radiological Outcomes of Comminuted Distal End of Radius Fractures Treated by Multiplanar Kirschner Wire Fixation: A Case Series |
| title_short | Functional and Radiological Outcomes of Comminuted Distal End of Radius Fractures Treated by Multiplanar Kirschner Wire Fixation: A Case Series |
| title_sort | functional and radiological outcomes of comminuted distal end of radius fractures treated by multiplanar kirschner wire fixation a case series |
| topic | comminuted distal radius multiplanar kirschner wire fixation |
| url | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1179 |
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