Which modality is the best choice in distal radius fractures treated with two different Kirschner wire fixation and immobilization techniques?

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dc.authoridOken, Fuad O/0000-0002-3091-9697|YAVUZ, OSMAN/0000-0003-4141-2944
dc.contributor.authorGunay, Cuneyd
dc.contributor.authorOken, Ozdamar Fuad
dc.contributor.authorYavuz, Osman Yuksel
dc.contributor.authorGunay, Sinem Hursen
dc.contributor.authorAtalar, Hakan
dc.date.accessioned2025-10-24T18:10:10Z
dc.date.available2025-10-24T18:10:10Z
dc.date.issued2015
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractBACKGROUND: The aim of the study was to investigate whether the number and position of Kirschner (K)-wires, and the manner and duration of immobilization influence radiologic and functional outcomes of distal radius fractures treated with percutaneous K-wire fixation. METHODS: Ninety-two patients were included into the study with a mean follow-up period of 19.84 +/- 5.22 months (range, 13-34 months). In Group I, forty-five patients were treated with 3 K-wires and supported with a volar semi-circular cast for the first 3 weeks followed by a removable splint for a further 3 weeks. In Group II, forty-seven patients were treated with 2 K-wires and supported with a below-elbow circular cast for 6 weeks postoperatively. RESULTS: No significant difference in grip strength and DASH scores was found between the two groups. In clinical examination, significantly better functional results were determined in patients supported with a removable volar splint. At 6 weeks postoperatively, volar tilt, radial inclination, and radial length were significantly better in Group I compared to Group II (all p values). CONCLUSION: Tripod technique with 3 K-wires is a safe and reliable procedure to achieve stability and good radiological results. The use of a removable splint also improves the functional outcomes in the treatment of both intra-and extra-articular distal radius fractures.
dc.identifier.doi10.5505/tjtes.2015.55938
dc.identifier.endpage126
dc.identifier.issn1306-696X
dc.identifier.issue2
dc.identifier.pmid25904273
dc.identifier.scopus2-s2.0-84924722380
dc.identifier.scopusqualityQ3
dc.identifier.startpage119
dc.identifier.trdizinid197932
dc.identifier.urihttps://doi.org/10.5505/tjtes.2015.55938
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/197932
dc.identifier.urihttps://hdl.handle.net/20.500.12899/4023
dc.identifier.volume21
dc.identifier.wosWOS:000351545100007
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherTurkish Assoc Trauma Emergency Surgery
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal Of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20251023
dc.subjectDistal radius fracture; functional outcome; Kirschner wires; percutaneous pinning; radiological outcome; treatment
dc.titleWhich modality is the best choice in distal radius fractures treated with two different Kirschner wire fixation and immobilization techniques?
dc.title.alternativeHangi yöntem iki farklı Kirschner teli ile tespit ve immobilizasyon teknikleri ile tedavi edilen distal radius kırıklarında en iyi seçimdir?
dc.typeArticle

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