Bilal Hussain, Waqas Ali, Muhammad Saleem Bashir, Muhammad Zahid Siddiq.
Redisplacement of Distal Radius Metaphyseal Fractures in Children Treated with Kirschner Wire versus Cast Immobilization.
J Sharif Med Dent Coll Jan ;08(1):22-5.

Objective: To compare the frequency of redisplacement of distal radius metaphyseal fractures in children treated with Kirschner wire (K-wire) versus cast. Methodology: It was a quasi-experimental study conducted at the Department of Orthopedic Surgery, Aziz Bhatti Shaheed Hospital, Gujrat from March to September 2019. After approval from the ethical review committee of the hospital, 139 children presenting with distal radius fractures were enrolled by convenient sampling technique and were divided into two treatment groups. After giving written informed consent, patients in the cast group were treated conservatively by cast while K-wire fixation was done in patients in the K-wire group. The outcome variable was the frequency of fracture redisplacement which was compared between the groups. Results: The mean age of the patients was 8.76+/-3.60 years while the mean weight was 25.15+/-7.12 kg. There were 91(65.5%) male and 48(34.5%) female patients with a male to female ratio of 1.9:1. Redisplacement of fracture occurred in 32(23%) patients. The frequency of redisplacement was significantly lower in patients who were treated with K-wire (7.1%) as compared to cast (39.1%). The patients in both groups did not differ significantly in their age, weight, and gender (p-value <0.001). Conclusions: K-wire is a stable and more effective treatment option for children with distal radius fractures as compared to cast immobilization. There is a significantly lower frequency of fracture redisplacement with K-wires than casting. Keywords: Distal radius fractures. Kirschner wire. Plaster of Paris cast.

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