A Study on Functional and Radiological Assessment of Distal End Radius Fractures Treated with Percutaneous Pinning

Introduction: Distal end radius fractures are a prevalent orthopedic injury, particularly in the elderly population. Percutaneous K-wire fixation is a minimally invasive technique used to stabilize these fractures, offering benefits such as reduced soft tissue damage and faster recovery. This study aims to evaluate the functional and radiological outcomes of distal end radius fractures treated with percutaneous K-wire fixation. Objectives: The primary objective is to assess the functional recovery of patients using the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score. The secondary objective is to evaluate the radiological outcomes using the Sarmiento assessment score. Methods: This prospective study included 50 patients with distal end radius fractures treated with percutaneous K-wire fixation. Functional outcomes were assessed using the QuickDASH score at 6 weeks, 3 months, and 6 months post-surgery. Radiological outcomes were evaluated using the Sarmiento assessment score at each follow-up visit. Statistical analysis was performed to compare pre- and post-treatment outcomes. Results: The mean QuickDASH score improved significantly indicating substantial functional recovery. Radiological assessment using the Sarmiento score revealed 80% excellent, 6% good, and 14% fair outcomes, with no poor outcomes recorded. Complications included pin tract infections in 5% of patients, which were managed with antibiotics. Conclusion: Percutaneous K-wire fixation is an effective method for treating distal end radius fractures, providing excellent functional recovery and satisfactory radiological outcomes. This technique offers a reliable option with minimal complications for managing these common fractures, particularly in resource-constrained settings.