Comparison of Closed Reduction and Plaster Cast versus Kirschner Wire Fixation for the Management of Colle’s Fracture

Abstract

Objective: To evaluate the functional outcomes of closed reduction and plaster cast versus kirschner wire fixation in treatment of colle’s fracture.Study Design:  Randomized Control Trial.Place and Duration: Study was conducted in the department of Orthopedic surgery Bahawal Victoria Hospital Bahawalpur from April 2017 to April 2018.Methodology: A total of sixty patients with colle’s fracture enrolled in the study. Adult patients of age more than 20 years, both genders with unstable distal radius end fracture were included in the study. Patients unfit for medical treatment, compound fracture with vascular injury and who were not willing for surgery were excluded from the study. Patients were divided into two groups with lottery method. Complications after surgery and outcomes (excellent, good, and poor) were assessed. SPSS version was used to analyze data. P value ≤ 0.05 was considered as significant.Results: mean age and time of union of Group A was 42.90±3.53 years and 3.80±1.58 respectively. There were more males than females i.e. 70% and 30% respectively. Majority of the patients’ outcome was good in both the groups’ i.e. 46.7% and 53.3% respectively. The differences were statistically insignificant.Conclusion:Results of our study reveals that both treatment methods are equally effective less costly mode of treatment should be adopted for management of colle’s fracture.

Keywords: Close Reduction, Plaster Cast, Kirschner Wire, Collles’ Fracture