PERCUTANEOUS FIXATION FOR DISPLACED COLLES FRACTURES; A PRACTICAL INSIGHT FROM A PUBLIC HOSPITAL
Keywords:
Keywords Displaced Colles fractures, percutaneous fixation, radiological outcomes, Kwires.Abstract
Introduction: Displaced Colles fractures are common injuries affecting patient functionality and quality of life. Percutaneous treatment efficacy requires a thorough evaluation, especially in postgraduate trainees managing it.
Material & Methods: This was a descriptive retrospective study that was conducted at the Department of Orthopedics, Civil Hospital Karachi, from 15 June 2022 to 15 August 2023. Non-probability consecutive sampling was used to select 96 patients who underwent percutaneous fixation for displaced Colles fractures. Data was collected through clinical examinations and radiographs, using a pre-designed protocol. The surgical procedures utilized two divergent 1.8 mm smooth K-wires. Follow-up evaluations were conducted to assess both radiological union and functional outcomes.
Results: The radiological assessment showed an 88.54% union rate, and the functional outcomes at six months post-treatment were excellent 69.79%, good 16.67%, fair 8.33%, and poor 5.21%. No significant differences were found based on age, gender, residence, employment status, BMI, fracture duration, or injury mechanism.
Conclusion: Percutaneous fixation successfully restored structural integrity and functional capacity for displaced Colles fractures, with a radiological union rate of 88.54% and 86.46%, despite the limitations due to a single-center design. Further research should explore individualized treatment strategies.
