COLLE’S FRACTURE

FIXATION BY PERCUTANEOUS K-WIRE

Abstract

Objective: To evaluate results of treatment of Colle’s fracture by
percutaneous K-wiring POP. This method is popular in developed part of the world, however still not much used in our
country. Setting: Department of Orthopedic- Unit I, Civil Hospital Karachi. Period: The study was started in 2003 and
still on going. Patients & Method: 22 patients with displaced Colle’s fracture were treated with per cutaneous K- wire.
The fixation was augmented with below elbow back slab. Pins were removed after four weeks and replaced by below
elbow cast for next two weeks. All patients were assessed radiographically and clinically at 3 months, 6 months and
12 months. Results: Our results show that there is over 95% good to excellent results with minimal complication in term
of radiological and clinical assessment. Conclusions: Percutaneous K-wire fixation is a better alternative to simple
POP cast and it does not require highly skilled person or sophisticated instrument for application.