scholarly journals Use of Surgical Adhesive Tape to Maintain Tension on Intrafocal K-Wires for Easy Reduction and Fixation of Complex Intra-Articular Distal Radius Fractures

Cureus ◽  
2021 ◽  
Author(s):  
Jonathan M French ◽  
Angelos Assiotis ◽  
Harpal S Uppal
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Adhesive Tape ◽  
Radius Fractures ◽  
Surgical Adhesive ◽  
K Wires

Kirschner’s Wires Fixation of Unstable Distal Radius Fractures in Children with the Kapandji Technique

2021 ◽  
Vol 18 (2) ◽  
pp. 4-8
Author(s):  
Sabin Shrestha ◽  
Dinesh Kumar Shrestha ◽  
Dipendra KC ◽  
Prateek Karki ◽  
Sushil Yogi
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Radius Fractures ◽  
Additional Tool ◽  
Fractures In Children ◽  
Wire Fixation ◽  
K Wires ◽  
Unstable Distal Radius Fracture

Introduction: Unstable distal radius fractures in children have more tendencies to get displaced with conservative management resulting into deformity. This Kapandji technique of K-wire fixation is on rise to reduce and maintain these fractures in recent days. Aims: The aim of this study was to evaluate the effectiveness of the K-wires fixation in unstable distal radius fracture with Kapandji techniques. Methods: A cross-sectional observational study was conducted in Nepalgunj Medical College and Teaching Hospital, Kohalpur, Banke in unstable distal radius fracture in children with K-wires fixation using Kapandji method. Results: Twenty eight unstable distal radius fractures in children between 6 to 14 years of age were treated with one intrafocal K-wire and one or two extra focal K-wires to augment fixation. Immobilization of forearm with above elbow slab/cast for four to six weeks was enforced. K-wires were removed between four to six weeks of operation depending upon the union and followed prospectively for four months. The mean age of patients presented was 8.57± 1.79 years. This technique brought near anatomical reduction in all fractures. There was no reduction loss or remanipulation in any case. All fractures achieved union and functional outcome was excellent in 24 cases based on Modified Mayo Wrist Score. There was fewer complications like pin tract infection. Conclusion: This Kapandji technique of K-wire fixation, leverage reduction method, being an additional tool helps to achieve near anatomical alignment, and maintain reduction throughout the duration of healing. So it is an advantageous technique.

scholarly journals Are Volar Locking Plates Superior to Percutaneous K-wires for Distal Radius Fractures? A Meta-analysis

2015 ◽  
Vol 473 (9) ◽  
pp. 3017-3027 ◽  
Author(s):  
Harman Chaudhry ◽  
Ydo V. Kleinlugtenbelt ◽  
Raman Mundi ◽  
Bill Ristevski ◽  
J. C. Goslings ◽  
...  
Keyword(s):  
Distal Radius ◽  
Meta Analysis ◽  
Distal Radius Fractures ◽  
Locking Plates ◽  
Radius Fractures ◽  
K Wires

scholarly journals Surgical fixation with K-wires versus plaster casting in the treatment of dorsally displaced distal radius fractures: protocol for Distal Radius Acute Fracture Fixation Trial 2 (DRAFFT 2)

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e028474 ◽  
Author(s):  
Juul Achten ◽  
William Sones ◽  
Joseph Dias ◽  
Helen Hedley ◽  
Jonathan A Cook ◽  
...  
Keyword(s):  
Distal Radius ◽  
Closed Reduction ◽  
Controlled Trial ◽  
Demographic Data ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Plaster Casting ◽  
Surgical Fixation ◽  
K Wires ◽  
Displaced Fracture

IntroductionOptimal management of distal radius fractures in adults remains controversial. Previous evidence and current clinical guidelines tell us that, if a closed reduction of a dorsally displaced fracture is possible, Kirschner wires (K-wires) are the preferred form of surgical fixation. However, the question remains whether there is any need to perform surgical fixation following a successful closed reduction, or is a simple plaster cast as effective? This is the protocol for a randomised controlled trial of manipulation and surgical fixation with K-wires versus manipulation and casting in the treatment of dorsally displaced distal radius fractures.Methods and analysisAdult patients with an acute dorsally displaced fracture of the distal radius are potentially eligible to take part. Prior to surgery, baseline demographic data, radiographs, data on pain/function using the Patient-Rated Wrist Evaluation Score (PRWE) and health-related quality of life (HRQoL) using the EuroQoL 5-dimension 5-level (EQ-5D-5L) will be collected. A randomisation sequence, stratified by centre, intra-articular extension of the fracture and age, will be administered via a secure web-based service. Each patient will be randomly allocated to either ‘manipulation and surgical fixation with K-wires’ or ‘manipulation and plaster casting’. A clinical assessment, radiographs and records of early complications will be recorded at 6 weeks. PRWE and HRQoL outcome data will be collected at 3, 6 and 12 months post-randomisation. Further information will be requested with regard to healthcare resource use and any complications.Ethics and DisseminationThe National Research Ethic Committee approved this study on 6 October 2016 (16/SC/0462).The National Institute for Health Research Health Technology Assessment monograph and a manuscript to a peer-reviewed journal will be submitted on completion of the trial. The results of this trial will substantially inform clinical practice on the clinical and cost-effectiveness of the treatment of this injury.Trial registration numberISRCTN11980540; Pre-results.

scholarly journals 653 DRAFFT Dodging? Fixation Methods for Distal Radial Fractures Since 2014 In A UK Trauma Unit

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Gilbert ◽  
H Akehurst ◽  
J Mutimer
Keyword(s):  
Internal Fixation ◽  
Distal Radius ◽  
Locking Plate ◽  
Plate Fixation ◽  
Distal Radius Fractures ◽  
Fixation Method ◽  
Radius Fractures ◽  
Locking Plate Fixation ◽  
Fixation Methods ◽  
K Wires

Abstract Introduction The 2014 randomised, controlled Distal Radius Acute Fracture Fixation Trial (DRAFFT) compared K-wires to internal fixation for management of dorsally displaced distal radius fractures. The authors found no clinical difference between the two fixation methods, concluding ‘The results of this trial will reverse the trend towards locking-plate fixation for this injury’. Our study aimed to measure local change in practice since 2014. Method From the DRAFFT CONSORT diagram, we calculated just 10.7% of eligible cases required locking plate fixation. 300 patients, 50 per year from 2014-19 meeting DRAFFT eligibility criteria undergoing fixation, were randomly selected from an electronic trauma database. Radiographs were reviewed to see whether patients received internal fixation or K-wires. Results Age and sex distributions of the study sample were not significantly different to the DRAFFT population (p < 0.05). Over 60% of recruited patients received internal fixation each year. No increasing trend in use of K-wires was detected (p = 0.27). No trend was observed in either fixation method adjusting for intra versus extra-articular fractures (p = 0.36). Conclusions Local practice remains unchanged in fixation of dorsally displaced distal radius fractures since 2014. Internal fixation remains the most prevalent surgery, and there has been no detectable increase in use of K-wires.

scholarly journals 181 Preoperative Blood Investigations in Surgical Fixation of Distal Radius Fractures (Jan-Apr 2020)

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
H A S K Mohamed
Keyword(s):  
Distal Radius ◽  
Previous History ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Nice Guideline ◽  
Health Care Professions ◽  
Audit Period ◽  
History Of ◽  
Surgical Fixation ◽  
K Wires

Abstract Background Venepuncture is not a risk-free procedure; 1 in 125 000 risk of nerve injury and risk of spreading MRSA. Blood biochemistry and haematology testing is expensive; a Group & Save can cost up to £20 (Inc. VAT). Distal Radius fractures are common injuries seen and treated at the Worthing Hospital. ORIF or MUA + K-wires of Distal Radius are highly unlikely to result in the need for intra-operative transfusion. Aim and Objective Aim to reduce unnecessary preoperative bloods from wards under T&O “control” during re-audit period to zero. Results This audit included 27 patients (4 male, 23 female) (average age 58 years). four patients were ≥ ASA 3, 23 were ASA 1- 2. About 20/27 (74.1%) patients had FBC performed. About 3/4 (75%) patients with ASA ≥ 3 had FBC done and 17/23 (73.9%) patients with ASA 1-2 had FBC. Almost 11/27 (40.7%) patients had Coagulation screen performed, with no previous history of anticoagulation. About 16/27 (59.2%) LFTs performed. About 14/27 (51.8%) G&S performed with 21 samples sent of these figures 7/27 patients had two G&S samples sent and 7/27 patients had only 1 sample sent to pathology lab. Conclusions The practice of doctors at Worthing hospital does not meet NICE guideline recommendations in Pre-operative blood investigations for Distal Radius fractures. This can add more cost to the trust, wasting resources and putting extra load on health care professions working in pathology department.

scholarly journals Distal radius fractures: an evidence-based approach to assessment and management

2020 ◽  
Vol 81 (6) ◽  
pp. 1-8
Author(s):  
Kalpesh R Vaghela ◽  
Diana Velazquez-Pimentel ◽  
Aashish K Ahluwalia ◽  
Anika Choraria ◽  
Alistair Hunter
Keyword(s):  
Distal Radius ◽  
Soft Tissue Injuries ◽  
Operative Management ◽  
High Energy ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Management Options ◽  
Patient Profiles ◽  
K Wires ◽  
Non Operative Management

Distal radius fractures account for one in five bony injuries in both primary and secondary care. These are commonly the result of a fall on outstretched hands or high-energy trauma. On assessment, clinicians should determine the mechanism of injury, associated bony or soft tissue injuries, and neurovascular symptoms. Investigations should always include radiographs to evaluate for intra-articular involvement and fracture displacement. Owing to the heterogeneous injury patterns and patient profiles, the preferred management should consider the severity of the fracture, desired functional outcome and patient comorbidities. Non-operative management in select patients can give good results, especially in older adults. Immobilisation with or without reduction forms the mainstay of non-operative treatment. Surgical management options include closed reduction and application of a cast, percutaneous K-wires, open reduction and internal fixation with plates, or external fixation. Patients should be encouraged to mobilise as soon as it is safe to do so, to prevent stiffness. Median nerve compression is the most common complication followed by tendon rupture, arthrosis and malunion. This article outlines the British Orthopaedic Association Standards for Trauma and Orthopaedics for the management of distal radius fractures.

scholarly journals Comparison of 2-year clinical and radiological outcomes between volar plating and external fixation with additional K-wires for AO Type C distal radius fractures

2019 ◽  
Vol 49 (5) ◽  
pp. 1418-1425
Author(s):  
Özgür ÇİÇEKLİ ◽  
Erhan ŞÜKÜR ◽  
Alauddin KOCHAİ ◽  
Levent BAYAM ◽  
İzzet BİNGÖL ◽  
...  
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Volar Plating ◽  
Radius Fractures ◽  
Type C ◽  
K Wires

Percutaneous Pinning of Distal Radius Fractures: An Anatomic Study Demonstrating the Proximity of K-Wires to Structures at Risk

2009 ◽  
Vol 34 (6) ◽  
pp. 1014-1020 ◽  
Author(s):  
Benjamin Chia ◽  
Louis W. Catalano ◽  
Steven Z. Glickel ◽  
O. Alton Barron ◽  
Kristen Meier
Keyword(s):  
At Risk ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Percutaneous Pinning ◽  
Anatomic Study ◽  
Radius Fractures ◽  
K Wires
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