Comparison of Functional and Anatomical Results of Colles Fracture Treated By Percutaneous K - Wire Fixation and Plaster Cast: A Randomized Prospective Study

Introduction: Although Colles fracture are is the most common fracture treated by an orthopedic surgeon still various controversies remain regarding best method of treatment. There are numerous studies regarding optimal management of these fractures with variable results and conclusions. Closed reduction followed by plaster cast application and percutaneous pinning are the two standard methods of treatment but there are few studies which compare results both objectively and subjectively. Materials and methods: Sixty four cases of Colles fractures were included in the study. Thirty two patients underwent closed reduction and percutaneous two crossed wire fixation followed by below elbow cast application under nerve block or general anaesthesia (group A). Thirty two every alternate patient underwent closed reduction and below elbow cast application under nerve block or anaesthesia (group B). Radiological and functional evaluation of results was done at three and six months and compared between two groups. Conclusion: Closed reduction and Percutaneous k-wire fixation combined with plaster cast immobilization is better method than the conventional plaster cast immobilization- in restoration of pre injury anatomical alignment in the management of Colles fracture. Anatomical reduction has not much of role in determining the functional outcome which is statistically significant in our study.