This comparative study aims to evaluate the clinical and radiological outcomes of cannulated screw fixation versus K-wire fixation in the treatment of distal radius fractures. Adult patients with distal radius fractures will be allocated to either cannulated screw fixation or K-wire fixation. The primary outcome measure will be functional outcome assessed using the DASH score, with secondary outcomes including radiographic parameters and complication rates.
Patients aged between 18_60years.
Patients with displaced or unstable Distal Radius Fractures requiring surgical Fixation.
Type A Extra articular Fractures.
Patients fit for surgery and willing to participate in the study.
open distal Radius Fractures.
Pathological Fractures.
Previous Fractures or surgeries affecting the wrist.
Associated neurovascular injury.
Parallel
Cannulated screw Fixation In Treatment Of Distal Radius
Procedure/SurgeryPatients assigned to this group will undergo surgical fixation of distal radius fractures using cannulated screws. The procedure involves open reduction and internal fixation with appropriate screw placement under fluoroscopic guidance. Postoperative care includes standard immobilization, physiotherapy, and follow-up visits to assess functional recovery using the DASH score and radiographic alignment. Complications such as infection, malunion, or hardware failure will be monitored.
1. Radiological union
Number of patients achieving complete bone healing as assessed by serial X-rays (presence of bridging callus on 3 out of 4 cortices). Unit of Measure: Number of Participants.
Mean Hand Grip Strength
Measurement of the physical force of the hand using a calibrated Jamar hydraulic hand dynamometer. The average of three successive trials with the affected hand will be recorded. Unit of Measure: Kilograms.
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