scholarly journals Is there a safe zone to avoid superficial radial nerve injury with Kirschner wire fixation in the treatment of distal radius? A cadaveric study

2014 ◽  
Vol 5 (4) ◽  
pp. 240-244 ◽  
Author(s):  
Ayman M. Ali ◽  
Barakat El-Alfy ◽  
Hamdino Attia
Keyword(s):  
Nerve Injury ◽  
Distal Radius ◽  
Radial Nerve ◽  
Kirschner Wire ◽  
Safe Zone ◽  
Cadaveric Study ◽  
Superficial Radial Nerve ◽  
Kirschner Wire Fixation ◽  
Wire Fixation ◽  
Radial Nerve Injury

Superficial Radial Nerve Injury During Standard K-wire Fixation of Uncomplicated Distal Radial Fractures

Orthopedics ◽  
2006 ◽  
Vol 29 (7) ◽  
pp. 639-641 ◽  
Author(s):  
R. Glanvill ◽  
J.M. Boon ◽  
F. Birkholtz ◽  
J.H. Meiring ◽  
A.N. van Schoor ◽  
...  
Keyword(s):  
Nerve Injury ◽  
Radial Nerve ◽  
Distal Radial Fractures ◽  
Superficial Radial Nerve ◽  
Wire Fixation ◽  
Radial Nerve Injury

scholarly journals A prospective study of distal radius fracture management by close reduction, percutaneous Kirschner wire fixation and plaster immobilization

2017 ◽  
Vol 3 (3) ◽  
pp. 537
Author(s):  
Abhishek Chattopadhyay ◽  
Upal Banerjee ◽  
Prashant Kumar Sinha ◽  
Subarna Misra ◽  
Ananya Chattopadhyay ◽  
...  
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Excellent Result ◽  
Kirschner Wire ◽  
Radius Fracture ◽  
Invasive Technique ◽  
Fair Result ◽  
Kirschner Wire Fixation ◽  
Wire Fixation ◽  
Plaster Immobilization

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Distal radius fracture is one of the most common fractures. It may be sustained due to low-energy trauma or high-energy trauma. Objectives: To compare the clinical effectiveness of Kirschner wire fixation with and plaster immobilization for patients with fracture of the distal radius.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Interventions Kirschner wire fixation: wires are passed through the skin over the dorsal aspect of the distal radius and into the bone to hold the fracture in the correct anatomical position. About 79 patients with Distal Radial Fractures presented to MGM Medical College and LSK Hospital, Kishanganj between November 2012 and June 2014 were included in the study</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The majority were men (60.4%). Majority of the patients (69.8%) sustained the injury due to fall. The side of involvement was nearly equal and that there was no predominance of the either sides. In our study, according to AO classification, 31 cases were of Type A, 17 were of Type B and 5 were of Type C. The Anatomical evaluation by Sarmiento’s Criteria showed 33 patients with excellent result, 15 patients with good result and 5 with a fair result. At final follow-up by ‘The Gartland and Werley criteria for functional outcome’ 37 patients had excellent result, 13 had good result, 2 had fair result and 1 had a poor result. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">This study demonstrates that percutaneous Kirschner<strong> </strong>wire pinning is a minimally invasive technique that provides an effective means of maintaining the anatomical<strong> </strong>fracture reduction. It does not required highly skilled<strong> </strong>personnel or sophisticated tools for application. It is a<strong> </strong>suitable method for fixation of displaced Colles fracture with minimal intra-articular involvement. The technique involves a minimal procedure that provides anatomic reduction, fracture fixation, and maintenance of reduction with an adequate method of immobilization.</span></p>

Superficial Radial Nerve Injury

Pain ◽  
2011 ◽  
pp. 46-48
Author(s):  
Tabitha A. Washington ◽  
Khalilah M. Brown ◽  
Gilbert J. Fanciullo
Keyword(s):  
Nerve Injury ◽  
Radial Nerve ◽  
Superficial Radial Nerve ◽  
Radial Nerve Injury

scholarly journals Closed reduction and percutaneous k-wire fixation for distal end radius fractures

2020 ◽  
Vol 8 (7) ◽  
pp. 2400
Author(s):  
Tanveer Ali ◽  
Mohmmad Sikander Baketh ◽  
Maneer Ahmad Mir
Keyword(s):  
Functional Outcome ◽  
Distal Radius ◽  
Kirschner Wire ◽  
Mayo Score ◽  
Kirschner Wire Fixation ◽  
Anatomic Reduction ◽  
Wire Fixation ◽  
Inexpensive Procedure ◽  
Anatomical Restoration

Background: To evaluate radiological and functional outcome in fractures of the distal radius treated by K-wire fixation.Methods: Forty patients (16 males, 24 females) with different types of fractures of distal radius were treated. K-wire fixation was performed under axillary bolock or general anaesthesia. Anatomical  restoration was evaluated by postero-anterior and lateral radiographs obtained preoperatively and at 09 months of follow up to evaluate Radial Height (RH), Radial Inclination (RI) and Volar Tilt (VT). Functional outcome was evaluated using Mayo scoring system.Results: According to Mayo score 72.5% (n=29) of our patients had excellent to good outcome while as 17.5% (n=7) had fair outcome and 10% (n=4) patients had poor outcome.Conclusions: Kirschner wire fixation is an inexpensive procedure that  provides anatomic  reduction,  fracture  fixation,  and maintenance  of  reduction  with  an  adequate method of  immobilization.

scholarly journals UK DRAFFT: a randomised controlled trial of percutaneous fixation with Kirschner wires versus volar locking-plate fixation in the treatment of adult patients with a dorsally displaced fracture of the distal radius

2015 ◽  
Vol 19 (17) ◽  
pp. 1-124 ◽  
Author(s):  
Matthew L Costa ◽  
Juul Achten ◽  
Caroline Plant ◽  
Nick R Parsons ◽  
Amar Rangan ◽  
...  
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Plate Fixation ◽  
Kirschner Wire ◽  
Health Technology ◽  
Kirschner Wires ◽  
Locking Plate Fixation ◽  
Kirschner Wire Fixation ◽  
Wire Fixation ◽  
Displaced Fracture

BackgroundIn high-income countries, 6% of all women will have sustained a fracture of the wrist (distal radius) by the age of 80 years and 9% by the age of 90 years. Advances in orthopaedic surgery have improved the outcome for patients: many such fractures can be treated in a plaster cast alone, but others require surgical fixation to hold the bone in place while they heal. The existing evidence suggests that modern locking-plate fixation provides improved functional outcomes, but costs more than traditional wire fixation.MethodsIn this multicentre trial, we randomly assigned 461 adult patients having surgery for an acute dorsally displaced fracture of the distal radius to either percutaneous Kirschner-wire fixation or locking-plate fixation. The primary outcome measure was the Patient-Rated Wrist Evaluation©(PRWE) questionnaire at 12 months after the fracture. In this surgical trial, neither the patients nor the surgeons could be blind to the intervention. We also collected information on complications and combined costs and quality-adjusted life-years (QALYs) to assess cost-effectiveness.ResultsThe baseline characteristics of the two groups were well balanced and over 90% of patients completed follow-up. Both groups of patients recovered wrist function by 12 months. There was no clinically relevant difference in the PRWE questionnaire score at 3 months, 6 months or 12 months [difference at 12 months: –1.3; 95% confidence interval (CI) –4.5 to 1.8;p = 0.398]. There was no difference in the number of complications in each group and small differences in QALY gains (0.008; 95% CI –0.001 to 0.018); Kirschner-wire fixation represents a cost-saving intervention (–£727; 95% CI –£588 to –£865), particularly in younger patients.ConclusionsContrary to the existing literature, and against the increasing use of locking-plate fixation, this trial shows that there is no difference between Kirschner wires and volar locking plates for patients with dorsally displaced fractures of the distal radius. A Kirschner-wire fixation is less expensive and quicker to perform.Trial registrationCurrent Controlled Trials ISRCTN31379280.FundingThis project was funded by the NIHR Health Technology Assessment programme and will be published in full inHealth Technology Assessment; Vol. 19, No. 17. See the NIHR Journals Library website for further project information.

Sign in / Sign up

Export Citation Format

Share Document