Results of operative treatment of unstable distal radius fractures using percutaneous K wire fixation

Distal radius fractures are a serious clinical problem. The evaluation of fracture stability and selection of a treatment method are of key importance for treatment outcomes. Purpose of the study. The study evaluated the outcomes of treatment of unstable distal radius fractures using percutaneous K wire fixation.

A total of 112 patients with confirmed unstable distal radius fractures were treated by percutaneous K wire fixation. Fractures were classified according to the AO/ASIF classification. Functional outcomes were evaluated with the Gartland-Werley scale as well as the Disabilities of the Arm, Shoulder and Hand (DASH) scale. Radiological outcomes were evaluated with the Lidstrom scale.

The mean overall DASH score was 16.5. A scoring system based on the Gartland-Werley scale rated the outcomes as excellent and good in 95 (84.7%) patients, fair in 14 (12.5%) and poor in 3 (2.8%). Lidstrom radiological scores revealed 89 (79.5%) excellent and good results, 14 (12.5%) fair results and 9 (8%) poor results.

Treatment of unstable distal radius fractures with percutaneous K wire fixation produces good results in patients with fracture types A2, A3, B1, B2, C1, and C2.