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

Articles

Page Path: HOME > J Musculoskelet Trauma > Volume 26(4); 2013 > Article

Original Article
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.; Journal of the Korean Fracture Society 2013;26(4):248-253.
DOI: https://doi.org/10.12671/jkfs.2013.26.4.248
Published online: October 18, 2013

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: July 26, 2012 • Revised: September 9, 2012 • Accepted: July 6, 2013

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.

22 Views
0 Download

prev next

Full Article

Download PDF

Abstract
REFERENCES

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.
Key words: Osteoporosis, Distal radius fracture, Percutaneous pinning, T score

REFERENCES

1. Arora R, Gabl M, Gschwentner M, Deml C, Krappinger D, Lutz M. A comparative study of clinical and radiologic outcomes of unstable colles type distal radius fractures in patients older than 70 years: nonoperative treatment versus volar locking plating. J Orthop Trauma, 2009;23:237-242.Article PubMed
2. Azzopardi T, Ehrendorfer S, Coulton T, Abela M. Unstable extra-articular fractures of the distal radius: a prospective, randomised study of immobilisation in a cast versus supplementary percutaneous pinning. J Bone Joint Surg Br, 2005;87:837-840.PubMed
3. Cha SD, Park JH, Kim HS, et al. Comparative analysis of the results of fixed-angle versus variable-angle volar locking plate for distal radius fracture fixation. J Korean Fract Soc, 2012;25:197-202.Article
4. Chao EY, Inoue N, Koo TK, Kim YH. Biomechanical considerations of fracture treatment and bone quality maintenance in elderly patients and patients with osteoporosis. Clin Orthop Relat Res, 2004;425:12-25.Article
5. Cho DY, Kim SJ, Im SJ, Kim YW, Kim BC. Treatment of the distal radius intraarticular fractures with percutaneous pinning and external fixator. J Korean Orthop Assoc, 2001;36:519-523.Article PDF
6. Choi JS, An KC, Lee CS, Choi JM, Kim JY, Shin DR. DEXA T-score concordance and discordance between hip and lumbar spine. J Korean Soc Spine Surg, 2003;10:75-81.Article
7. Dowdy PA, Patterson SD, King GJ, Roth JH, Chess D. Intrafocal (Kapandji) pinning of unstable distal radius fractures: a preliminary report. J Trauma, 1996;40:194-198.PubMed
8. Figl M, Weninger P, Jurkowitsch J, Hofbauer M, Schauer J, Leixnering M. Unstable distal radius fractures in the elderly patient-volar fixed-angle plate osteosynthesis prevents secondary loss of reduction. J Trauma, 2010;68:992-998.Article PubMed
9. Gehrmann SV, Windolf J, Kaufmann RA. Distal radius fracture management in elderly patients: a literature review. J Hand Surg Am, 2008;33:421-429.Article PubMed
10. Goldhahn J, Suhm N, Goldhahn S, Blauth M, Hanson B. Influence of osteoporosis on fracture fixation-a systematic literature review. Osteoporos Int, 2008;19:761-772.Article PubMed PDF
11. Greatting MD, Bishop AT. Intrafocal (Kapandji) pinning of unstable fractures of the distal radius. Orthop Clin North Am, 1993;24:301-307.Article PubMed
12. Grewal R, MacDermid JC, King GJ, Faber KJ. Open reduction internal fixation versus percutaneous pinning with external fixation of distal radius fractures: a prospective, randomized clinical trial. J Hand Surg Am, 2011;36:1899-1906.Article PubMed
13. Ha SS, Kim TH, Hong KD, Sim JC, Kim JH. Comparison of operative management in distal radius fractures using 3.5 mm versus 2.4 mm volar locking compression plates. J Korean Fract Soc, 2011;24:156-162.Article
14. Heo YM, Kim SB, Yi JW, et al. The incidence of osteoporosis and the necessity of bone mineral density measurement in distal radius fractures by minor trauma. J Korean Orthop Assoc, 2011;46:464-471.Article
15. Hyun YS, Song KW, Park HJ, Park HT. Clinical and radiologic outcomes of AO type C1, 2 distal radius fractures treated with percutaneous pinning or volar locking plating. J Korean Soc Surg Hand, 2011;16:134-141.
16. Kim JH, Lee KH, Hwang KT. The factors of reduction loss in Kapandji technique for distal radius fractures. J Korean Soc Surg Hand, 2004;9:250-256.
17. Kim JK, Park HS, Jeong BJ. Comparative analysis of the results of dorsally unstable distal radius fractures between Kapandji technique and volar locking plate fixation. J Korean Soc Surg Hand, 2008;13:217-222.
18. Kong GM, Lee SE, Kim DJ, Yoon TH. Differences of bone mineral density between spine and hip in osteoporotic patients. J Korean Fract Soc, 2005;18:181-184.Article
19. Moon SH, Lee SE, Kong GM, Kwon JW, Kim DJ, BAE JM. A comparison of three operative methods in comminuted intraarticular fractures of distal radius. J Korean Soc Surg Hand, 2004;9:61-67.
20. Oh JR, Cho TY, Kwan SM. Treatment for unstable distal radius fracture with osteoporosis: internal fixation versus external fixation. J Korean Fract Soc, 2010;23:76-82.Article
21. Park JW. Surgical treatment of common osteoporotic fracture: distal radius. J Korean Fract Soc, 2010;23:391-398.
22. Rozental TD, Blazar PE, Franko OI, Chacko AT, Earp BE, Day CS. Functional outcomes for unstable distal radial fractures treated with open reduction and internal fixation or closed reduction and percutaneous fixation. A prospective randomized trial. J Bone Joint Surg Am, 2009;91:1837-1846.PubMed
23. Stone KL, Seeley DG, Lui LY, et al. BMD at multiple sites and risk of fracture of multiple types: long-term results from the study of osteoporotic fractures. J Bone Miner Res, 2003;18:1947-1954.Article PubMed PDF
24. Wright TW, Horodyski M, Smith DW. Functional outcome of unstable distal radius fractures: ORIF with a volar fixed-angle tine plate versus external fixation. J Hand Surg Am, 2005;30:289-299.Article PubMed

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.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

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

J Korean Fract Soc. 2013;26(4):248-253. Published online October 31, 2013

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

XML Download

We recommend

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

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.

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.