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2025, Vol. 7, Issue 1, Part F
Functional and radiologic outcomes of Kirschner wire fixation in distal radius fractures: A case series and literature review
Author(s): Andriandi and Boris Huang
Abstract: Background: Distal radius fractures are among the most common long bone injuries, especially following high-energy trauma in young adults. Despite the development of various fixation techniques, Kirschner-wire (K-wire) fixation remains widely used due to its minimally invasive nature and cost-effectiveness. However, there are still uncertanties regarding indications, immobilization duration, and functional outcomes.
Methods: We present a case series of three patients with
distal radius fractures (Frykman types 2, 7, and 8), treated with K-wire
fixation and immobilization with plaster casting. Radiologic parameters (radial
height, inclination, and volar tilt) and functional outcomes using the
Patient-Rated Wrist Evaluation (PRWE) score were assessed at 8 and 12 weeks
postoperatively.
Results: Two cases (Frykman 7 and 8) achieved satisfactory
radiographic alignment and moderate functional recovery, with PRWE scores of 36
and 40, respectively. The third case (Frykman 2) showed suboptimal radiologic
parameters and poor functional outcome (PRWE score 64) complicated by the
development of Complex Regional Pain Syndrome (CRPS), confirmed by Budapest
Criteria.
Conclusion: K-wire fixation offers good outcomes in distal
radius fractures when reduction is adequate and immobilization is maintained.
Functional recovery correlates with fracture complexity and radiologic
alignment. Complications such as CRPS can significantly impact outcomes, even
in simple fracture patterns, highlighting the importance of close postoperative
monitoring.
DOI: 10.22271/27081494.2025.v7.i1f.182
Pages: 298-303 | Views: 126 | Downloads: 48
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How to cite this article:
Andriandi, Boris Huang. Functional and radiologic outcomes of Kirschner wire fixation in distal radius fractures: A case series and literature review. Int J Case Rep Surg 2025;7(1):298-303. DOI: 10.22271/27081494.2025.v7.i1f.182
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