Rvaiz Anjum M Pervaiz, Faisal Nazeer Hussain, Ahmad Ali, Irfan Mehboob.
Postoperative wrist movements in percutaneous fixation by k-wire of Colles fracture.
Med Channel Jan ;16(2):331-3.

INTRODUCTION: Three hundred patients of Colles‘ fracture were treated at two different teaching hospitals of Pakistan from 2005-2008, by closed reduction and per cutaneous K wire fixation. The movements of wrist joint were noted post operatively along with many other parameters. METHODS : During the period from July 2005-September 2008, 300 patients of Colles‘ fracture were operated by closed reduction and percutaneous K Wire fixation. These patients were followed prospectively with use of the modified hospital score for wrist surgery score and a patient administered questionnaire. Radiographic evaluation was performed according to previously established criteria. RESULT : The post operative movements of wrist Joint at the time of follow up ranged from 65 to 80 degrees both in flexion and extension, with two hundred and Forty excellent, 50 good, 10 fair and no poor results. The radial height was maintained in two hundred and thirty cases and was five mm less than normal in 60 cases and more than one cm collapsed in ten cases. The range of movements of flexion and extension was 80° in two hundred and forty cases, 70 in fifty cases and 65°in ten cases. Radiographically there were two hundred seventy good, thirty fair and no poor results. CONCLUSIONS : With closed reduction and percutaneous K Wire fixation excellent movements are achieved with no stiffness of wrist and fingers.

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