CONCLUSION - Analysis of functional outcome for unstable distal radius fractures treated with c

Fractures of distal radius are common and appear simple, affect the function of wrist and hand considerably. It is most common fracture encountered in outpatient department. Majority of these fractures are unstable resulting in loss of reduction and hence malunion, poor range of motion and early arthritis, altered wrist kinematics and early arthritis. For better outcome of management the goals of treatment are

1. To achieve perfect anatomical reduction and maintain the reduction till union

2. Early mobilisation to achieve good range of movements and to prevent stiffness.

3. To prevent early and late complication

In unstable distal radius fractures both the techniques of managements K wire fixation and casting and closed reduction and casting gives near equal results in terms of functional outcome. Better anatomical reduction and maintenance of reduction can be expected with K wire fixation and casting group.

77

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APPENDIX I

DISABILITY OF ARM, SHOULD

SCORING TO EVALAUATE FUNCTIONAL OUTCOME

80 APPENDIX I

DISABILITY OF ARM, SHOULDER AND HAND (DASH) SCORING TO EVALAUATE FUNCTIONAL OUTCOME

ER AND HAND (DASH) SCORING TO EVALAUATE FUNCTIONAL OUTCOME

82 APPENDIX II

LINDSTROM AND FRYKMAN GRADING FOR ANANTOMICAL OUTCOME DEFORMITY GRADE DORSAL ANGULATION RADIAL SHORTENING GRADE I (No significant

deformity)

Not exceeding

neutral < 3 mm

GRADE II (Mild deformity)

1-10˚ 3 - 6 mm GRADE III (Moderate deformity)

11-14˚ 7 - 11 mm

GRADE IV (Severe deformity)

83 APPENDIX III

CONSENT FORM ÑV Jl×Rp T¥Ym

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84

4. CkR Bn®p Sôu TeÏùT\ Jl×d ùLôs¡ú\u. G]dÏ ùLôÓdLlThP A±ÜûWL°uT¥ SPkÕ ùLôsYÕPu CkR BnûY úUtùLôsÞm UÚjÕY A¦dÏ EiûUÙPu CÚlúTu Gußm Eß§ A°d¡ú\u.

5. GuàûPV EPp ¨ûX Tô§dLlThPôúXô ApXÕ G§oTôWôR YZdLj§tÏ Uô\ô] úSônÏ± ùRuThPôúXô EPú] ARû] UÚjÕY A¦dÏ ùR¬®lúTu G] Eß§ A°d¡ú\u.

6. AßûY£¡fûNdÏ Øu]Úm, AßûY £¡fûN«u

FÓL§oLs (X-Ray) GÓdLÜm, UVdLUÚkÕ ùLôÓjÕ

AßûY£¡fûN êXm U¦dLhÓ GÛm× Ø±®tÏ Lm© ùTôÚjRÜm NmURm A°d¡ú\u. 7. Gu SXu LÚ§úV CkR BnÜ úUtùLôs[lTÓ¡\Õ Guß ùR¬kÕ CkR Bn®tÏ Jl×Rp A°d¡ú\u. Sôs : CPm : TeúLtTY¬u ûLùVôlTm ApXÕ CPÕ ûL ùTÚ®Wp úWûL (CkR T¥Ym T¥jÕ LôhPlThÓ ×¬kÕ ûLúWûL A°d¡uú\u) TeúLtTY¬u ùTVo Utßm ®XôNm

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85

úSôVô° RLYp T¥Ym

úSôVô°dLô] RLYpLs BWônf£«u úSôdLØm BRôWeLÞm

A[ÅÓLs

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ùLôs[lTÓm. CkR Bn®u Ø¥ÜLs A±®Vp Tj§¬dûL«p

LiÓ ùLôs[lTPUôh¼oLs. CkR Bn®p EeL[Õ TeúLt×

Ru²fûNVô]Õ. úUÛm, EeLÞdÏ ®ÚlTªpûXùV²p LôWQeLs GûRÙm á\ôUúXúV CkR Bn®ÚkÕ GkR úSWj§Ûm ¿eLs ®X¡d ùLôs[Xôm. CkR Bn®]ôp HúRàm TdL ®û[ÜLs HtT¥u ARtÏ¬V ØÝ £¡fûNÙm UÚjÕYd ÏÝ®]Wôp A°dLlTÓm. úSôVô°«u ûLùVôlTm Sôs : ApXÕ CPÕ ûL ùTÚ®Wp úWûL CPm :

86 APPENDIX IV

CLINICAL PROFORMA 1. Name 2. Age 3. Sex 4. In-Patient no. 5. Mode of injury 6. Side of injury 7. Dominant side 8. Occupation

9. Address and contact no. 10. AO type

11. Associated injury

12. Associated complications 13. Date of injury

14. Date of surgery / plaster immobilization 15. Date of K Wires / plaster removal

16. Preoperative radiology Radial length – Volar tilt –

87

In document Analysis of functional outcome for unstable distal radius fractures treated with closed reduction and percutaneous ‘K’ wire fixation with casting and closed reduction with casting: A comparative study (Page 85-96)