K-Wire Fixation versus Volar Locking Plate for Distal End Radius Fractures: A Comparative Outcome Study

Background: Distal end radius fractures require stable fixation to achieve anatomical restoration and optimal functional recovery. Aim: To compare the functional and radiological outcomes of distal end radius fractures treated with K-wire fixation and volar locking plate fixation. Materials and Methods: A prospective comparative study was conducted on 50 patients with distal end radius fractures treated by either percutaneous K-wire fixation or volar locking plate fixation. Functional outcome was assessed using the Mayo Wrist Score, while radiological outcomes were evaluated using radial height, radial inclination, volar tilt, and ulnar variance at follow-up. Results: The volar locking plate group demonstrated superior functional outcomes and better maintenance of radiological parameters compared to the K-wire group. Conclusion: Volar locking plate fixation provides better functional and radiological outcomes; however, K-wire fixation remains a viable option in selected cases.