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Corresponding Author

Othman Mohammed Ezz-Eldin Mohammed

Authors ORCID

Role of L- Carnitine as Adjuvant Therapy with Letrozole for Ovulation Induction in Women with Polycystic Ovarian Syndrome (PCOS)

Document Type

Original Article

Abstract

Background: The most prevalent form of orthopaedic fracture is distal radius fractures (DRF). Most of these fractures occur in postmenopausal women and elderly individuals. High-energy trauma and osteoporosis are the main reasons for fractures in this population.

Aim and objectives: To access the functional as well as radiological outcomes of percutaneous pinning in managing extra-articular distal radial fractures in adults.

Patients and methods: This case series research was carried out on twenty cases of extra-articular distal radial fractures managed with percutaneous K-wire fixation at the orthopaedic emergency room of Al-Azhar University Hospital (Al-Hussein Hospital) during the period from January 1 to July 1, 2023.

Results: Regarding the outcome, pin site superficial infection occurred in one (five per cent) case, pin loosening occurred in 2 (10%) patients, malunion occurred in one (five per cent) case, and hematoma occurred in 1 (5%) patient. Nerve injury, post-traumatic arthritis of the wrist, reflex sympathetic dystrophy, DRUJ subluxation, and neurovascular injury were not observed. The wrist supination at six months was significantly lower than that at six weeks (P = 0.013). There were insignificant differences between wrist supination at six weeks and three months.

Conclusion: The study demonstrated significant postoperative changes in wrist function and radiological parameters, with effective restoration of wrist movement over 6 months. However, a decrease in radial inclination, volar tilt, and a relatively radial height, along with variations in bone alignment, were also observed.

Keywords

Percutaneous Pinning; Distal Radius Fractures; Malunion, Hematoma

Subject Area

Orthopedics

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