Comparative Study Between Cannulated Screws and K-wires in the Fixation of Distal Radius Fractures

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.

Distal radius fractures are among the most common orthopedic injuries in adults. Various fixation techniques are used depending on fracture pattern and surgeon preference. Cannulated screw fixation and K-wire fixation are minimally invasive techniques commonly used in selected fracture types; however, there is ongoing debate regarding their comparative effectiveness in terms of functional recovery and complication rates. This prospective comparative study will include patients diagnosed with distal radius fractures who meet the inclusion criteria. Participants will be allocated into two groups: Group A will undergo fixation using cannulated screws, and Group B will undergo fixation using K-wires. Patients will be followed for a period of 6 months postoperatively. The primary outcome will be functional assessment using the DASH score at 6 months. Secondary outcomes will include radiographic parameters (radial height, radial inclination, and volar tilt), time to union, and postoperative complications.

Inclusion Criteria: * 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. Exclusion Criteria: * open distal Radius Fractures. * Pathological Fractures. * Previous Fractures or surgeries affecting the wrist. * Associated neurovascular injury. * polytrauma patient. * Patients with severe osteoporotic or systemic condition affecting bone healing.