Functional Outcomes of Percutaneous K-Wire Fixation for Distal Radius Fractures with or without Osteoporosis

Ki-Chan An; Gyu-Min Kong; Jang-Seok Choi; Hi-Chul Gwak; Joo-Yong Kim; Sung-Yub Jin

doi:10.12671/jkfs.2013.26.4.248

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An, Kong, Choi, Gwak, Kim, and Jin: Functional Outcomes of Percutaneous K-Wire Fixation for Distal Radius Fractures with or without Osteoporosis

Original Article

Journal of the Korean Fracture Society 2013; 26(4): 248-253.

Published online: 18 October 2013

DOI: https://doi.org/10.12671/jkfs.2013.26.4.248

Functional Outcomes of Percutaneous K-Wire Fixation for Distal Radius Fractures with or without Osteoporosis

Ki-Chan An, M.D., Gyu-Min Kong, M.D., Jang-Seok Choi, M.D., Hi-Chul Gwak, M.D., Ph.D., Joo-Yong Kim, M.D., Sung-Yub Jin, M.D.

Department of Orthopedic Surgery, Inje University Busan Paik Hospital, Busan, Korea.

Address reprint requests to: Gyu-Min Kong, M.D. Department of Orthopedic Surgery, Inje University Busan Paik Hospital, 75 Bokji-ro, Busanjin-gu, Busan 614-735, Korea. Tel: 82-51-890-6257, Fax: 82-51-892-6619, docos@naver.com

Received 26 July 2012 Revised 9 September 2012 Accepted 6 July 2013

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To determine the influence of osteoporosis on the results of percutaneous K-wire fixation for distal radius fractures.

Materials and Methods

Between March 2007 and February 2011, Fifty seven patients who underwent fixative surgery with K-wires after closed reduction and those available for follow-up for at least 6 months were reviewed. They were divided into the two groups of T score -3 or more (group 1) and T score less than -3 (group 2). These groups were compared by the range of motion of the wrist and Disabilities of the Arm, Shoulder and Hand (DASH) score. Radiologic evaluations consisting of radial length, radial inclination and volar tilt were compared. In group 1 with 34 cases, the average age was 65.4 years (50 to 78 years) and T score was -1.97 (-0.1 to -2.93). In group 2 with 23 cases, the average age was 74 years (54 to 89 years) and T score was -4.11 (-3.1 to -6.97).

Results

There was no statistical difference between group 1 and group 2 in terms of range of motion, DASH score and radiologic evaluations.

Conclusion

In the case of no volar side cortical comminution, percutaneous K-wire fixation can be applied for the treatment of distal radius fracture with osteoporosis.

Keywords: Osteoporosis, Distal radius fracture, Percutaneous pinning, T score

Figures and Tables

Table 1

Radiographic Outcome

Table 2

Clinical Outcome

Values are presented as mean (range). ROM: Range of motion, DASH: Disabilities of the Arm, Shoulder and Hand.

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