A prospective study on outcome of distal radius fracture treated with external fixation in a tertiary care hospital
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
Background and objective: Fractures of the distal radius account for 10 to 12% of all the fractures. Fall on outstretched hand being most common cause. Failure to achieve and maintain near anatomic restoration can lead to various disabilities and deformities. There is evidence that surgical good anatomical articular reduction reduces the complication hence the management of distal radius fractures changed from universal use of cast immobilization to operative interventions. Aim of this study is to observe the functional and anatomical outcome of distal radius treated with external fixation. Materials and Methods: The present study includes 22 cases of distal radius fractures who were operated with external fixation in our hospital BTGH, MRMC, kalaburagi between Jan 2017 to Dec 2017. Ethical clearance and Informed consent were taken. All the fractures were classified according to frykman’s classification and patients’ final outcome was measured by Gartland and Werley’s Score (demerit system). Results: The present study includes 22 patients, 14 were male and 8 were female. The mean patient age was 36 years (22yrs-50yrs). Left hand was involved in 13 patients and right hand in 9 patients. The mechanism of injury was road traffic accident in majority. Most of the patients were operated within 3-4 days of injury. 6 patients with high impact type injuries had associated fractures. Most of fractures were of Type III, IV, V of Frykman’s classification of fractures. End Results according to Demerit point system of Gartland and Werley’s among 22 patients treated with External fixation were Excellent in 10 patients, Good in 7 patients, Fair in 4 patients, and Poor in 1 patient. Conclusion: External fixation in distal radius fractures provide good to excellent results and are effective in the correction and maintenance of distal radius anatomy.
Authors and Affiliations
Dr. Mohit Kolhapure, Dr. Pramod Itagi, Dr. Nishant Panegaon
Keywords
Related Articles
- EP ID EP488111
- DOI 10.22271/ortho.2018.v4.i4j.92
- Views 118
- Downloads 0
Does accelerated bone healing associated with traumatic brain injury (TBI) occur in open fractures
Aim: Accelerated bone healing has been frequently reported in patients with traumatic brain injury (TBI). However, all these reports are restricted to closed fractures and there is no literature of the effect of TBI in o...
RCT comparing closed reduction and percutaneous versus open reduction and volar locking plate in treatment of distal radius fractures in adults
Introduction: Displaced distal radius fractures are very common injuries and present regularly to all orthopaedic surgeons. Several documented treatment modalities for these fractures have been described with a recent tr...
Conservative vs. surgical intervention in diaphyseal forearm fractures in age group 1 to 15 years: A prospective study
Pediatric diaphyseal breaks of the radius and ulna, regularly alluded to as both bone lower arm fractures, are the third most basic fractures in the paediatric populace and record for 13-40% of all pediatric fractures.1,...
Effectiveness of Maitland mobilisation technique on pain and hand functions in the postoperative management of Colles fracture
This study compared use of the Maitland mobilisation and conventional mobilisation techniques for improving pain and range of motion postoperatively in patients with Colles’ fracture. The subjects were 60 patients with c...
Maximising stability after revision hip arthroplasty for vancouver B periprosthetic fractures
Objectives: The risk of hip dislocation after revision total hip arthroplasty can be as high as 27% following surgery for periprosthetic fractures. A novel technique described by the senior authors in 2015, involving a t...