Functional Outcome of Percutaneous Pinning and Plaster for Distal Radius Fractures in Postmenopausal Women

Ajay Karthick, V (2016) Functional Outcome of Percutaneous Pinning and Plaster for Distal Radius Fractures in Postmenopausal Women. Masters thesis, Coimbatore Medical College, Coimbatore.


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INTRODUCTION: Fractures at the distal end of radius accounts for around 18 to 20 % of all skeletal fractures occurring in adults . Fractures around the distal radius account for around 19 % of all fractures in the postmenopausal aged females. Osteoporotic fractures are more common among the postmenopausal females due to the lack of osterogenic support. The fracture is most vulnerable at the distal end of radius where the trabecular bone is dominating and the cortical bone is thinner towards the radiocarpal joint. Many factors causing this risk are mineral changes in the bone, increased osteoblastic and osteoclastic turnover rates, underlying osteoporosis, long term steroid intake, underlying systemic disease etc. Distal radius fractures that occur in older postmenopausal women, five to six times more frequent in females than in males, and between the ages of 55– 85 years , with the peak incidence between 70 to 80 years. The distal radius fractures can occur in bimodal age groups (aged 17-25 years) involving in sports activities undergoing a relatively highenergy significant fall, and in geriatric persons (aged >50 years) with osteoporotic bone undergoing a simple low velocity fall, stress or a bump. Osteoporotic postmenopausal females with low mineral density have a greater incidence. AIM : The main aim of my prospective study is to determine the” functional outcome of Percutaneous pinning for distal radius fractures in post menopausal women’ . OBJECTIVES : 1. To analyse the role of minimal invasive surgical technique for distal radius fracture among post menopausal women. 2. To evaluate the functional outcome of percutaneous pinning with conservative methods. 3. To evaluate the role of percutaneous pinning as day care procedure. MATERIALS AND METHODS: A prospective cohart study of “functional outcome of distal radius fractures with percutaneous k wire pinning and plaster application” is done in Coimbatore medical college hospital, Coimbatore. The present study is conducted on 13 patients who are diagnosed to have distal end of radius fracture and being admitted in Coimbatore medical college hospital, Coimbatore during one year period of July 2014 to July 2015. Detailed written Informed consent was obtained from all the patients. Study design: An prospective cohart observational study. The age group ranges between 45 to 65 years . Inclusion criteria: 1. Postmenopausal women. Exclusion criteria 1. women in menstrual phase. 2. children ( 0-14 yrs) and males. 3. associated chronic co- morbidities. RESULTS: A prospective observational study was conducted on twenty five postmenopausal patients to analyse the functional outcome of percutaneous pinning and plaster with both intraarticular and extra articular distal radius fractures in Coimbatore medical college hospital for a period of one year between July 2014 to July 2015. In our study, the mean age of postmenopausal women was 57.6 years. The average follow up period was 6 months. The results obtained from our study were analysed in many aspects with previous other similar observational studies and were postulated as follows. CONCLUSION: Distal radius fractures are more common injuries occurring in geriatric population particularly among the postmenopausal women with underlying osteoporosis. The mode of violence is mostly a low velocity fall during the household activities. High velocity injuries are mostly encountered during road traffic accidents. Majority of the fractures are said to be extra -articular displaced with dorsal angulation in postmenopausal women typical of colle's However, higher degree of violence may produce intra articular displaced and communited fractures. The fracture union time on an average is found to be around 6 weeks. The anatomical reduction and radiological parameters are found to be obtained and maintained by crossed pinning providing a successful functional outcome and early range of motion in wrist joint. Percutaneous pinning with k – wires are just a minimally invasive day care procedure meeting the patients demands . Percutanous pinning is a valuable procedure to prevent subsequent fracture secondary displacements with least complications. Further, the procedure is so economical and less time consuming and doesn’t need a longer learning curve compared other modalities of treatment. The results of over study showed that proper reduction and positioning of k wire would provide a satisfactory outcome among the low demand groups.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Functional Outcome ; Percutaneous Pinning and Plaster ; Distal Radius Fractures ; Postmenopausal Women.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 18 Sep 2017 02:12
Last Modified: 18 Sep 2017 02:12

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