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ORIGINAL ARTICLE
Year : 2013  |  Volume : 2  |  Issue : 1  |  Page : 23-29

Percutaneous K-wire fixation of distal radius fractures: Our results of leaving the wire outside


Department of Orthopaedics, Adichunchanagiri Institute of Medical Sciences, Bellur, Karnataka, India

Correspondence Address:
K T Madhukar
Department of Orthopaedics, Adichunchanagiri Institute of Medical Sciences, B. G. Nagar, Bellur, Mandya - 571 448, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-344X.110571

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Background: Distal radius fracture is one of the common injuries seen in casualty often managed by closed reduction and percutaneous pinning. Aim: The purpose of this prospective study is to determine the incidence of infection following percutaneous wire fixation of distal radius fractures and it's bearing on the outcome in the management of distal radius fractures. Materials and Methods: We studied eighty-eight cases of closed distal end radius fractures managed with closed reduction and percutaneous Kirschner wires (K-wires) fixation with splinting for pintract infection. Results: Out of the 88 cases included in the study, 14 cases had pintract infections that were mild to moderate in nature. In 6 cases of early K-wire removal due to pintract infection, shortening of radius, malunion, reduced finger grip and poor functional outcome was noticed. Pintract infections resulted in extended hospital stay, early pin removal, decreased functional outcome, malunion of distal radius and requirement of second surgery to correct the deformity and to improve functional outcome. However, percutaneous K-wire fixation with keeping the wire outside has been advocated and routinely performed, though incidence of pintract infection and complications arising from early removal of K-wires cannot be ignored. Conclusion: Therefore, our study proposes to bury the pin ends under the skin to reduce complications and to achieve better functional outcomes.


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