DISTAL END RADIUS FRACTURE TREATED BY EXTRA FOCAL PERCUTANEOUS PINNING AND CLOSED REDUCTION AND PLASTER APPLICATION

BACKGROUND: Distal radius fracture is one of the most common fractures. Acute distal radius fracture results in pain, tenderness, swelling and potential deformity. Patients may be faced with substantial morbidity if fracture healing is delayed. The recovery period for distal radius fracture can be substantial and the impact of the method of fixation on activities and daily living can be significant. The majority of osteoporotic fractures in old age occur as the result of a fall, while the majority of injuries in the younger patients are secondary to motor vehicle accidents and sports. The Purpose of this study was to assess the functional outcome of stable distal end radius fractures treated by extra focal percutaneous pinning versus closed reduction and plaster application. METHOD: A comparative randomized study of functional outcome of Distal End Radius fracture treated by extra focal percutaneous pinning and closed reduction and plaster application of 12 months duration and comprised of 50 subjects 25 from each group, who were evaluated on second week, sixth week & after six months. The functional outcome of both groups was assessed at end of 6 months from the initiation of the treatment as per patient rated wrist evaluation criteria. Stable types of distal end radius fractures were taken into consideration for this study. RESULTS: Patients who were treated by extra focal percutaneous pinning had no better functional outcome than the patients who were treated by closed reduction and plaster application the average scores for both the groups that is closed reduction and cast was127.28 at the end of two weeks, 74.68 at the end of six weeks and 26.68 at the end of six months. As for the group treated by closed reduction and percutaneous pinning and slab application was 103.52 at the end of second week, 69.80 at the end of six weeks and 23.64 at the end of six months. CONCLUSION: Both methods are equally effective method in treatment of Stable distal end radius fractures as functional outcome is nearly same.