Functional Outcome of Intra-Articular Comminuted Distal End Radius Fracture Treated with Ligamentotaxis and Pinning

Background: Distal radius fracture is one of most common fractures seen in clinical practice. Intra- articular comminuted fractures are usually associated with road traffic accidents, fall from height in young patients. In old age groups it is associated with severe osteoporosis due to trivial fall. All intra-articular fractures need good reduction for better functional outcome. The aim of our study is to evaluate the functional outcome of intra-articular comminuted distal end radius fractures treated with Ligamentotxis and pinning. Methods: This study was conducted in Orthopaedic Department of Jhalawar Medical College, Jhalawar, Rajasthan between March 2022 to April 2024 on 40 patients with intra-articular comminuted distal end radius fracture, who fulfilled the inclusion criteria. All fractures were managed by ligamentotaxis and pinning and were followed regularly and assessed after three months post- operatively for their final functional outcomes. Results: Overall, 40 patients of intra-articular comminuted distal end radius fractures treated by ligamentotaxis and pinning. 70% of the study population were males. According to Gartland and Werly score, 50% patients achieved excellent outcomes, 25% had good outcomes, 15% had fair outcomes, and 10% had poor outcome. Conclusion: Ligamentotaxis and pinning is safe and effective method of treatment for intra-articular comminuted distal end radius fracture. It is also cost-effective method and can be practiced even in small hospital.