Management of Distal Radius Fractures: Comparison of Three Methods.

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Abstract

Conflict of interest statement: The authors have declared that no competing interests exist. 5. Cureus. 2024 Nov 22;16(11):e74226. doi: 10.7759/cureus.74226. eCollection 2024 Nov. Functional Outcomes in the Distal End of Radius Fracture: A Prospective Study in a Tertiary Care Center. Thusoo V(1), Chakrapani AS(2), Nehru A(3), Kudyar S(4), Nagpal B(5), Kv A(6), S E(6), Jose A(7). Author information: (1)Department of Orthopaedics, Royal Shrewsbury Hospital NHS Trust (SaTH), Shrewsbury, GBR. (2)Department of Orthopaedics and Traumatology, St. Thomas' Hospital, London, GBR. (3)Department of Orthopaedics, Employees State Insurance Corporation Hospital, New Delhi, IND. (4)Department of Orthopaedics, Government Medical Hospital, Jammu, IND. (5)Department of Orthopedics, Adesh Medical College and Hospital, Kurukshetra, IND. (6)Department of Orthopaedics and Traumatology, Osmania Medical College, Hyderabad, IND. (7)Department of Orthopedics and Traumatology, Kunhitharuvai Memorial Charitable Trust (KMCT) Medical College, Manassery, IND. OBJECTIVES: The objectives of this study are to determine the functional outcomes and compare them between conservative and surgical management in patients managed for closed-type intra-articular distal end of radius fractures. METHODS: A prospective observational study was done on 150 patients who underwent treatment for closed-type intra-articular distal end of radius fractures. As per Frykman Classification, they were type III. Patients were either managed conservatively, i.e. 100 patients out of 150 and surgical management was done in 50 cases. For surgical management, implants used were K-wires, Schanz pins, and Ellis Plate. The functional outcomes were noted in terms of pain and range of motion, in the follow up of six months. Union was noted clinically and radiologically. RESULTS: The mean age of the study patients was 42.32 ± 15.77 years. Out of 150 patients, there were 100 (66.67%) male patients. Compared to conservative management, surgical management had significantly lesser time of union (12 vs. 20 weeks, P