Comparative Study of Treatment of Distal end Radius Fracture by Non-Operative Method Versus Operative Method with Joshi’s External Stabilisation System
Keywords:JESS technique, conservative method, Gartland & Werley Score, Distal end of radius fracture, north Karnataka
Background: Distal end radius fractures are the most common fracture. There are various treatment modalities,
which include closed reduction and casting, closed reduction and percutaneous pinning, open reduction, and
internal fixation with a variety of implants. A minimally invasive technique like JESS could be ideal technique.
Method: 30 patients with distal end radial fractures were selected. Out of 30 patients, 15 were treated with closed
reduction and casting, and the remaining 15 were treated with the JESS technique approach. Patients of both
techniques were studied haematologically and radiologically before undergoing these comparative technological
studies, and the pros and cons of both techniques were noted. to justify the ideal method for a lower distal end
fracture of the radius.
Results: The fewest post-surgical complications were observed with JESS techniques as compared to the
conservative group. Excellent outcomes were observed in the JESS technique treatment, with significant statistical
values in terms of good anatomical reduction and stabilisation; early mobilisation with regaining full ROM was
Conclusion: From the present study, it is concluded that closed reduction with JESS fixation under the C arm is
a simple, minimally invasive, and cost-effective technique that provides better stability in the treatment of distal
end radius fractures with not only a good clinical and radiological outcome but also minimal complications as
compared to conservative treatment.
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