Long-term Functional Outcome in Fractures of the Lower End Radius in Young Adults Treated by Static External Fixator Autogenous Nonvascularized Fibula Graft Reconstruction
Journal Title: Journal of Bone and Joint Diseases - Year 2017, Vol 0, Issue 0
Abstract
Background: Fractures of the distal end radius represent the most common upper extremity fracture. Many external fixation devices are described to achieve reduction and fixation of the fragments without loss of position and acceptable functional results. The ligamentotaxis is the basic principle used by external fixation. The aim of the study was to assess the long-term functional outcome in fractures of the lower end radius in young adults treated by static ex-ternal fixator. Materials and Methods: A total of 56 patients (30 males and 26 females), aged between 15 and 50 years with intra-articular distal end radius fracture were treated with Modified Joshi’s External Stabilization System from 2003 to 2012. The patients were followed up at 2 weeks, 3 weeks, between 6 and 8 weeks, 6 months, 1 year and at 5 years after the surgery. The as-sessment of pain, range of motion, grip strength and activity were assessed at 6th month, 1 year and 5 years follow- up and scored according to Green and O’Brien scoring system. Results: Result was excellent in 48 (85.71%), good in 5 (8.9%) and poor in 3 (5.3%) at 5 years post operatively. Conclusion: External fixator has been the traditional mode of treating unstable distal radius fractures and is still used by many as the preferred technique due to its acceptable results, easy application and cost-effective
Authors and Affiliations
Uttam Kumar Garg, V. P. Sharma V. P. Sharma, U. K. Jain U. K. Jain
Keywords
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