Percutaneous Fixation for Displaced Colles Fractures; a Practical Insight From a Public Hospital
Year: 2024
Type: article
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.
Authors: Shahzeb Solangi, Muhammad Waqas Khan, Adeel Ahmed Siddiqui, Mairaj uddin Soomro, Sajjad Ahmad, Shayan Ali Irfan
Institution: Civil Hospital Karachi
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7083174554
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