Functional Outcome of Distal End of Radius Fractures Treated With Percutaneous Pinning and Dynamic Bridging External Fixator
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 10
Abstract
Objectives: To study the functional outcome of distal end of radius fractures treated with dynamic bridging external fixator and percutaneous pinning using the Gartland and Werley scoring system and to correlate the functional outcome with the radiological outcome. Methodology: 49 patients were followed up for a period of one year. They were selected for external fixation based on radiological parameters. External fixation was applied and adjusted over a period of approximately 6 weeks after which it was removed, and the patient resumed normal activities. Patients were followed up after a year and radiological and functional outcome re- evaluated. RESULTS- The mean age was 41.76 with 35 males and 14 females, 31 left side and 18 right side. The mean fixator time was 43.96 days. The score improved at fixator removal time from mean 12.02 to 4.82. The radiological parameters such as radial height improved form 4.08 average to 10.96 average at one year. The radial inclination improved from 15.122 degrees to 23.163 degrees. But the volar tilt improved only to near neutral on average. No significant relationship was found between either radiological or functional outcome. Interpretation: Despite only a reasonable improvement in radiological parameters at one year of follow up, the patients had marked improvement in functional outcome at one year. Conclusion: The external fixator system is still a viable tool in the treatment of distal end of radius fractures.
Authors and Affiliations
Dr. Sudheeru
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