"COMPARATIVE ANALYSIS OF CONSERVATIVE MANAGEMENT VERSUS K-WIRE FIXATION IN THE TREATMENT OF COLLE’S FRACTURE"

Abstract

Background: Colle’s fracture, a common wrist injury resulting from falls onto an outstretched hand, is typically managed through conservative methods or surgical interventions such as K-wire fixation. Understanding the effectiveness of these management strategies is essential for optimizing patient outcomes.

Aim: To compare the outcomes of conservative management and K-wire fixation in the treatment of Colle’s fractures.
Methods: This study involved 100 patients with Colle’s fractures, randomized into two groups: one receiving conservative treatment and the other undergoing K-wire fixation. Inclusion criteria comprised patients aged 18-75 years with fresh Colle’s fractures. Exclusion criteria included open fractures, severe osteoporosis, and prior wrist surgery. Outcomes assessed included pain levels, range of motion, functional recovery, and complications.

Results: Patients in the K-wire group experienced better functional recovery (p < 0.01) and lower pain levels at 6 weeks compared to the conservative group. However, there was no significant difference in range of motion at 3 months.
Conclusion: K-wire fixation provides superior functional recovery in the treatment of Colle’s fractures compared to conservative management, although both methods are effective.

Keywords: Colle’s fracture, Conservative management, K-wire fixation, Wrist injury, Comparative study.