CERTIFICATE

IMPACT FACTOR 2021

Subject Area

  • Life Sciences / Biology
  • Architecture / Building Management
  • Asian Studies
  • Business & Management
  • Chemistry
  • Computer Science
  • Economics & Finance
  • Engineering / Acoustics
  • Environmental Science
  • Agricultural Sciences
  • Pharmaceutical Sciences
  • General Sciences
  • Materials Science
  • Mathematics
  • Medicine
  • Nanotechnology & Nanoscience
  • Nonlinear Science
  • Chaos & Dynamical Systems
  • Physics
  • Social Sciences & Humanities

Why Us? >>

  • Open Access
  • Peer Reviewed
  • Rapid Publication
  • Life time hosting
  • Free promotion service
  • Free indexing service
  • More citations
  • Search engine friendly

Functional outcome of closed reduction and cast application verses closed reduction and percutaneous k-wire fixation for distal end of radius fractures

Author: 
Jaspreet Singh, M. Yamin, Simrandeep Singh, Gaganpreet Singh and Kanika Goel
Subject Area: 
Health Sciences
Abstract: 

Introduction: Fracture of the distal radius is the most common fracture. Mal-union of the distal radius has been associated with pain, stiffness, weak grip strength and carpal instability even after the fracture has healed. There are multiple treatment options in the treatment of distal radius fractures, including closed reduction and cast immobilization, percutaneous K-wire fixation (kapandji intra-focal pinning, trans-radial styloid pinning, pinning via the Lister’s tubercle or trans-ulnar pinning), fixation with volar or dorsal plates (locking or non-locking), bridge plating, use of an external fixator by means of ligamentotaxis to realign fracture displacement. Still there are treatment controverses as there is no single definitive modality which is considered the standard of care. Material and Method: This randomized prospective comparative study had 56 patients with fractures of distal radius (Frykman type I-VIII) were included in the study. All the patients were randomly divided into two groups. In the group A, patients were treated by closed reduction percutaneous K-wire application with below elbow slab application, while in the group B, patients were treated by closed reduction and below elbow cast application. All the patients were followed up and functionally evaluated by the demerit scoring system of Gartland and Werley (1951) at 6 weeks, 12 weeks and 6 months. Results: Out of 56 patients in this study, 30 patients were females and 26 were males. Mean age with standard deviation of group A and group B was 40.66±16.72 and 48.81±14.65 respectively. In group A and group B, fracture distribution according to FRYKMAN classification, type I-II fracture was 33.3% and 54.5% and type VII-VIII fracture was 17.9% and 4.5 % respectively. 36 had intra-articular fracture and the remaining 20 patients had extra-articular fracture. According to Gartland and Werley demerit scoring, at 6 month follow up, 40%+48.6% patients had excellent and good results in group A as compared to 47.6%+38.1% patients in group B. Comparable number of patients had deformity in both the groups i.e 12 in group A and 10 in group B. Finger stiffness was found in 3 patients in group A and 2 patients in group B. In group A 11 patients had arthrithis as compared to group B had 15 patients. Median nerve compression was found in 1 patient in each group. Conclusion: Closed reduction and k-wire stabilization is marginally superior to closed reduction and Cast application in terms of final functional outcomes. CR and casting can be an easy, non-invasive and safe option to treat fractures of distal radius if patients are carefully chosen.

PDF file: 

CALL FOR PAPERS

 

ONLINE PAYPAL PAYMENT

IJMCE RECOMMENDATION

Advantages of IJCR

  • Rapid Publishing
  • Professional publishing practices
  • Indexing in leading database
  • High level of citation
  • High Qualitiy reader base
  • High level author suport

Plagiarism Detection

IJCR is following an instant policy on rejection those received papers with plagiarism rate of more than 20%. So, All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies.

 

EDITORIAL BOARD

CHUDE NKIRU PATRICIA
Nigeria
Dr. Swamy KRM
India
Dr. Abdul Hannan A.M.S
Saudi Arabia.
Luai Farhan Zghair
Iraq
Hasan Ali Abed Al-Zu’bi
Jordanian
Fredrick OJIJA
Tanzanian
Firuza M. Tursunkhodjaeva
Uzbekistan
Faraz Ahmed Farooqi
Saudi Arabia
Eric Randy Reyes Politud
Philippines
Elsadig Gasoom FadelAlla Elbashir
Sudan
Eapen, Asha Sarah
United State
Dr.Arun Kumar A
India
Dr. Zafar Iqbal
Pakistan
Dr. SHAHERA S.PATEL
India
Dr. Ruchika Khanna
India
Dr. Recep TAS
Turkey
Dr. Rasha Ali Eldeeb
Egypt
Dr. Pralhad Kanhaiyalal Rahangdale
India
DR. PATRICK D. CERNA
Philippines
Dr. Nicolas Padilla- Raygoza
Mexico
Dr. Mustafa Y. G. Younis
Libiya
Dr. Muhammad shoaib Ahmedani
Saudi Arabia
DR. MUHAMMAD ISMAIL MOHMAND
United State
DR. MAHESH SHIVAJI CHAVAN
India
DR. M. ARUNA
India
Dr. Lim Gee Nee
Malaysia
Dr. Jatinder Pal Singh Chawla
India
DR. IRAM BOKHARI
Pakistan
Dr. FARHAT NAZ RAHMAN
Pakistan
Dr. Devendra kumar Gupta
India
Dr. ASHWANI KUMAR DUBEY
India
Dr. Ali Seidi
Iran
Dr. Achmad Choerudin
Indonesia
Dr Ashok Kumar Verma
India
Thi Mong Diep NGUYEN
France
Dr. Muhammad Akram
Pakistan
Dr. Imran Azad
Oman
Dr. Meenakshi Malik
India
Aseel Hadi Hamzah
Iraq
Anam Bhatti
Malaysia
Md. Amir Hossain
Bangladesh
Ahmet İPEKÇİ
Turkey
Mirzadi Gohari
Iran