To Study the Result of Distal End Radius Fractures Managed by a Novel Technique of 5 K Wire in Young Adults and Elderly Patients

Abstract

Introduction Distal end radius fracture is the most common fracture in elderly patients. Its incidence is reported as 8-15% of all fractures in the body. Nondisplaced fractures are treated conservatively with plaster whereas displaced fracture can be treated by various surgical methods with its own merits and demerits. Correction of dorsal tilt, maintaining radioulnar variance, maintaining intraarticular congruity, maintaining radial height & volar angulation are the main factors determine the functional outcome significantly along with addressing the issues like DRUJ injury, and proximal fragment supination at the same time .5 K wire technique is a novel minimally invasive, result oriented in terms of stability and functional outcome yet cost effective and with minimal complications. Hence, we have carried out the prospective analytical observational study of 20 cases of distal end radius fractures, operated by using 5 k wire technique during February 2023 to February 2025 and presenting the outcome of the study in this article.

Material and method 20 adult and elderly patient age between 18 years and 70 years with displaced distal end radius fracture with minimum intraarticular comminution treated with close reduction and percutaneous 5 k wire technique under anesthesia and c arm control. All patients have treated with short stay in the hospital (less than 2 days post op). Active assisted range of movement started at day1 post op All the patients evaluated for radiological & functional outcome at the end of six months and observed for the complications

Result 20 patients treated with 5 k wire technique, all the fractures united and we have got 70 %excellent functional result,15%good result,10 %satisfactory result and 5 % poor result. with minimal complications.

Conclusion Distal end radius closed fractures of less comminuted type in young adults and elderly patients, treated by 5 k wire technique gives optimum functional result by achieving rotational stability and preventing early or late collapse. It is a percutaneous, less invasive, novel, easy technique which is result oriented yet cost effective with very less complications.