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Indian Journal of Trauma and Emergency Pediatrics

Volume  10, Issue 2, April-June 2018, Pages 45-48
 

Original Article

Predictors of Late Collapse of Distal End Radius Fractures after Fixation

Madhukar K.T.1, Vikram Reddy Cheemala2, Moinuddin Bashak3

1Professor 2Junior Resident 3Junior Resident, Dept. of Orthopaedics, Adichunchanagiri Medical College, Mandya Dist, BG Nagara, Karnataka 571448, India.

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DOI: http://dx.doi.org/10.21088/ijtep.2348.9987.10218.2

Abstract
Distal radius fractures are commonly seen in elderly population and account for most common injuries encountered in orthopaedic practice. It is common in elderly population that post traumatically patient develop fracture instability, osteoarthritis, grip strength loss, loss of wrist motion, malunion. In this present study, we look for various factors like age, sex, comminution, DRUJ disruption, ulnar styloid fracture in loss of reduction in distal end radius fractures after the fixation. Total of 80 patients participated in the study out of which 32 patients are males and 48 where females, their age ranged from 28 to 82 years with mean age of 56.8 years. patients with age more than 50 years had loss of reduction in 38 patients and 08 among patients age less than 50 years. in distal end radius fractures associated with comminution 80% had loss of reduction, 62.5% had loss of reduction in DRUJ disruption, 4.7% patients had in ulna styloid fractures. In various type of fixations, loss of reduction varied with type of fixation. Loss of reduction in comminuted fractures is more with percutaneous pinning, next external fixation, least being plating. In case of DRUJ disruption, loss of reduction is more in external fixator, plating very as least in pinning. There is no association with ulna styloid fractures in loss of reduction of distal end radius fractures.

Keywords: Distal End Radius Fractures; Druj Injury; Comminution; Ulna Styloid Fracture; External Fixation; Plating; Percutaneous Pinning. 


Corresponding Author : Vikram Reddy Cheemala, Junior Resident, Dept. of Orthopaedics, Adichunchanagiri Medical College, Mandya Dist, BG Nagara, Karnataka 571448, India.