Additional Ulno-Radial Pinning for Prevention of Metaphyseal Collapse in Distal Radius Fracture: A Comparative Study

Pratyenta Raj Onta^1, , Pabin Thapa¹, Krishna Sapkota¹, Niraj Ranjeet¹ and Manoj Prasad Gupta¹

¹Faculty, Manipal Teaching Hospital, Pokhara, Nepal

Cite this paper

Pratyenta Raj Onta, Pabin Thapa, Krishna Sapkota, Niraj Ranjeet and Manoj Prasad Gupta. Additional Ulno-Radial Pinning for Prevention of Metaphyseal Collapse in Distal Radius Fracture: A Comparative Study. American Journal of Public Health Research. 2015; 3(5A):6-10. doi: 10.12691/AJPHR-3-5A-3

Abstract

Fracture distal radius is one of the common fractures encountered by an orthopedic surgeon. It accounts about 20% of cases. In 1814, Abrahim Colles first diagnosed the distal radius fracture and since then there are lots of debates in the management of the distal radius fracture. Till today the best treatment method for distal radius fracture is not known. Close reduction and plaster application is commonly done but has many complications. Close reduction and percutaneous pinning technique is widely accepted but one of the late complications of this technique is metaphyseal collapse. The study was done to check if additional ulno-radial pinning prevents metaphyseal collapse compared to simple two K wire fixation technique. There were total 30 patients in this study who had distal radius fracture. These patients were randomly divided into two groups. First group (Group A) patients were treated with simple two K wire technique and the next group (Group B) were given additional ulno-radial pin and their outcome were compared. The data was analyzed by using PASW version 16.0. Difference in radial height and ulnar variance of two groups at different time point were analyzed using independent sample T-test. p value <0.05 were considered statistically significant. In the study, the radial height was better preserved in Group B (who underwent additional ulno-radial pinning). The difference was statistically significant in 6 weeks and 3 months follow up. Additional ulno-radial pinning had better preservation of radial height compared to simple two K wire technique.

Keywords

distal radius fracture, ulno-radial pinning, metaphyseal collapse

Copyright

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