Functional Outcome of Percutaneous Pinning for Extra-Articular Distal Radial Fractures in Adults | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 10, October 2024 | ||||
| DOI: 10.58675/2682-339X.2725 | ||||
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| Authors | ||||
| Bahaa Kornah; Othman Mohammed; Sameh Abdel-Aal | ||||
| Orthopedic Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: The most prevalent form of orthopaedic fracture is distal radius fractures (DRF). Most of these fractures occur in postmenopausal women and elderly individuals. High-energy trauma and osteoporosis are the main reasons for fractures in this population. Aim and objectives: To access the functional as well as radiological outcomes of percutaneous pinning in managing extra-articular distal radial fractures in adults. Patients and methods: This case series research was carried out on twenty cases of extra-articular distal radial fractures managed with percutaneous K-wire fixation at the orthopaedic emergency room of Al-Azhar University Hospital (Al-Hussein Hospital) during the period from January 1 to July 1, 2023. Results: Regarding the outcome, pin site superficial infection occurred in one (five per cent) case, pin loosening occurred in 2 (10%) patients, malunion occurred in one (five per cent) case, and hematoma occurred in 1 (5%) patient. Nerve injury, post-traumatic arthritis of the wrist, reflex sympathetic dystrophy, DRUJ subluxation, and neurovascular injury were not observed. The wrist supination at six months was significantly lower than that at six weeks (P = 0.013). There were insignificant differences between wrist supination at six weeks and three months. Conclusion: The study demonstrated significant postoperative changes in wrist function and radiological parameters, with effective restoration of wrist movement over 6 months. However, a decrease in radial inclination, volar tilt, and a relatively radial height, along with variations in bone alignment, were also observed. | ||||
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