Citation Information :
Rajeendran R, Rajaram V, Mohan S, Loganathan S, Shunmugavel A. Functional and Radiological Outcomes of Comminuted Distal End of Radius Fractures Treated by Multiplanar Kirschner Wire Fixation: A Case Series. J Orth Joint Surg 2025; 7 (1):71-75.
Introduction: Distal radius fractures (DRFs), which make up around 18%, are the most frequent fractures of the upper limb among all fractures. The common mechanism is falling on an outstretched hand. High-energy injuries can also be a cause of injury. Percutaneous pinning, a minimally invasive procedure, was devised to maintain the reduction of the fracture following manipulation and prevent redisplacement.
Materials and methods: A prospective study was conducted during the period from 2022 to 2024, with a total of 20 cases, of which 14 were male and 6 were female patients, with a mean age of 43 years. Closed, community DRFs were included, and patients with open fractures, pathological fractures, and tumors were excluded. All the patients underwent initial radiography with an X-ray to classify the fractures. Patients were treated with multiplanar Kirschner wire (K-wire) fixation. Patients had functional assessments at 1-, 3-, and 6-month intervals following surgery. X-rays were taken at each follow-up to evaluate the union.
Results: Around 90% of the patients had excellent outcomes, while 10% of the patients had pin tract infection, reflex sympathetic dystrophy, and fair to poor functional outcomes.
Conclusion: Multiplanar K-wire fixation is a minimally invasive, inexpensive treatment option with excellent results in these complex injuries.
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