Imran Manzoor, Muhammad Usman Sarwar, Muhammad Saleem, Muhammad Ali, Shaukat Rabbani, Muhammad Ishtiaq.
A Comparative study of Displaced Distal Radius Fracture Treated with K Wire Vs Volar Locking Plate Fixation.
Pak J Med Health Sci Jan ;13(2):323-6.

Aim: To establish which type of fixation namely k wire fixation or volar locking plate fixation for displaced distal radial fracture is better regarding the functional outcome of patients over short term follow up of 3 months Method: A prospective study was conducted at Shalamar hospital in department of Orthopedic between 2015- 2017. The patients were received from the emergency department of hospital and inclusion and exclusion criteria were made during selection for study. A total of 60 patients were selected who were all older than 60 years of age. They were divided into two groups of 30 each. One group was treated with k wire fixation and was labelled as group A and other was treated with the volar locking plate and was labelled as group B. Results : In our study volar locking plate did not show any significant better functional results of patient’s satisfaction i.e pain , swelling, the range of motion at wrist at 1, 3, 6 and 12 weeks and power grip at 6 and 12 weeks follow up. In same criteria of patients and doctors satisfaction volar locking plate showed superior scores and in others, k wire fixation showed superior scores. The results of volar locking plate were inferior to k wire fixation at above mentioned follow-ups on the criteria of patient’s satisfaction of pain. Swelling , stiffness at wrist at these follow-ups however locking plate results were better for power grip at 6 and 12 weeks postoperatively. Conclusion : In our study volar locking plate and k wire fixation didn’t show any superior results as compared to each other both functionally and radiological in all parameters in short term follow up of 1,3, 6 and 12 weeks. Three parameters namely pain , swelling and stiffness at the wrist, k wire fixation showed superior results but in fourth parameter namely power grip , volar locking plate showed better results. For the para meter of postoperative reduction of fracture according to Medoff criteria of radiological reduction of distal radial fractures , volar locking plate showed better results in short term follow-ups of 1, 3, 6 and 12 weeks.

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