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ORIGINAL ARTICLE
Year : 2018  |  Volume : 10  |  Issue : 2  |  Page : 98-102

Percutaneous kirschner wire fixation of displaced colles' fracture


Department of Orthopaedics, Hi-Tech Medical College, Rourkela, Odisha, India

Correspondence Address:
Dr. Pawan Kumar
Jayprakash Nagar, Bariatu Road, Sadar, Ranchi - 834 009, Jharkhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jotr.jotr_68_17

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Introduction: Colles' fractures are one of the most common adult fractures encountered during clinical practice of an orthopaedic surgeon. It occur as the result of a fall on the outstretched hand (FOOSH). They consist of a fracture of distal redial metaphyseal region with dorsal angulation and impaction but without the involvement of the articular surface. Material and Methods: Twenty eight patients with severely displaced Colles' fractures were treated with closed reduction and percutaneous pinning with two/three kirschner wires. All the fractures healed within 3 months.Anatomical result was excellent or good in 22(80%) cases, but 6(20%) cases developed malunion. Functional results were satisfactory in all the cases. At a mean follow up of 3 years after injury, none had wrist pain. Grip strength was 95% of the opposite normal side. There were no serious complications. No patient had a significant loss of rotation of the forearm. Conclusion: The study showed that additional fixation improves both the anatomical and functional results after a Colles' fracture.Our results showed that the procedure ia a very effective treatment option for severely displaced Colles' fractures.


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