Clinico-Radiological Assessment of Distal End Radius Fractures: A Prospective Study in Moradabad City

Background:Fractures of distal radius account for 20% of all fractures treated in emergency department. These fractures result from low energy injuries in elderly population and high energy injuries in young adults. Most of these fractures are relatively uncomplicated and are effectively treated by closed reduction and casting. However, fractures that are unstable intra-articular can jeopardize the integrity of the articular congruence and kinematics of articulations resulting in high prevalence of complications. So to overcome these above complications, trend is shifting towards surgical management.Aim: To assess clinico-radiological outcome of distal end of radius fractures managed in our institution (conservative and surgical).Methods:A comparative interventional study was done in our institution in which all the patients of distal end of radius fractures were included as per inclusion and exclusion criteria. Bilateral X-ray wrist with forearm was taken(Day-0). Fractures were classified using Frykman classification Mayo and Lidstrom score to assess the patient clinico-radiologically on the day of intervention both pre and post reduction and then followed up on day 7-10th, 6th week , 3rd month , and 6th month.Results:30 patients were included in this study and followed upto 6 months. The comparison of final Lidstrom score was, Surgically: Excellent 46.7%, Good 40%, Fair 6.7%, Poor 6.7%. and Conservatively: Excellent 13.3%, Good 26.7%, Fair 53.3%, Poor 6.7%(p-value=0.03)and of the final Mayo-score was, Surgically: Excellent 53.3%, Good 26.7%, Fair 13.3%, Poor 6.7% and Conservatively: Excellent 13.3%, Good 20%, Fair 60%, Poor 6.7%(p-value=0.04).Conclusion:It can be concluded that surgical intervention for fracture distal end radius reduces chances of wrist joint stiffness and loss of reduction and gave good results as compared to conservative intervention. Hence, in our opinion surgical intervention for treatment of fracture distal end radius is a good method with excellent outcome