Abstract
Background: Treatment of displaced fractures of the distal end of radius has changed over the course of time.
This study was conducted to determine the functional and radiological outcome of percutaneous pinning followed
by plaster cast for unstable fractures of distal aspect of radius.
Material & Methods: This descriptive study was conducted at DHQ Teaching Hospital D.I.Khan, from April 2009
to September 2012. A total of 32 patients with mean age of 58 years having unstable fractures of distal radius
were included in the study. They were all operated within 48 hours by closed reduction and percutaneous K-wire
fixation and POP cast. Mean follow-up was 28 weeks (range 22-32 weeks) during which patients were assessed
both radiologically and functionally using criteria of Jakim et al.
Results: On radiological assessment, mean volar tilt was corrected to 3° (normal 11°). Mean radial height was
10 mm (normal 12 mm) and mean radial inclination was 22o (normal 23°). On functional assessment, 16 (50%)
patients showed excellent, 12 (38%) showed good results while 4 (12%) gave fair outcome. Poor result was not
encountered in any patient.
Conclusion: Percutaneous K-wire fixation and plaster cast immobilization can restore radiographic parameters
to nearly normal values and provide good functional results without much complication.
Muhammad shafiq Khan, Mohammad Ali Shah, Mian Amjad Ali, Shakil Ahmad Shah, Irfan Aziz. (2015) TREATMENT OF UNSTABLE DISTAL RADIUS FRACTURES BY PERCUTANEOUS PINNING AND PLASTER CAST IMMOBILIZATION, Gomal Journal of Medical Sciences , Volume 13, Issue 3.
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