Results of Treatment of Distal Radius Fracture in Geriatrics Patients using Closed Reduction and Percutaneous K. Wires Fixation in Aswan University, Egypt

Aim: Distal radius fractures is a common fracture among geriatric population. Aim of this study is to observe treatment of unstable distal radius fracture by closed reduction and percutaneous pinning among old age.

Materials and methods: Prospective study for analysis of 30 patients above age of 50 suffering from distal radius fracture and managed by closed reduction and percutaneous pinning in Aswan university hospital. After acceptable reduction of the fracture was achieved, two or more percutaneous K-wires were inserted through the distal radius with the wrist in traction to maintain the reduction. All cases are assessed by gartaland and werely score and by radiological assessment. Withaperiod of follow up about 6 months.

Results: The majority of cases were women. (70%) Majority of the patients (76.6%) sustained the injury due to fall. The side of involvement that was predominant is the right side (60%). According to scoring system cases NO excellent results (36.7%)scored Good (50%)scored Fair (13.3%)scored Poor at the end of 6 months follow up.

Conclusion: Closed reduction and percutaneous pinning of distal radius fracture can considered as a satisfactory treatment in old age group and doesn’t give an excellent results after short period of follow up.

Keywords: Distal radius fracture, Closed reduction, Percutaneous Kirschner wire fixation, geriatrics.