Non-Spanning Syringe Distractor: An Alternative Technique for Fracture Distal End Radius Fixation for Rural Areas of Developing Countries with Limited Resources
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 7
Abstract
Introduction: Operative fixation of distal radius fractures is one of the most commonly performed orthopedic procedures. Though external fixator is a well-established method of treatment for unstable and comminuted fractures, orthopedic surgeons from rural areas of developing countries are still found to be hesitant to use it for various reasons. Aim of our study is to provide an alternate technique for currently used external fixator or distracter modules in limited resources and not to substitute them. Methods: A total of 32 elder patients with distal radius fractures from a rural hospital were treated with a Non-Spanning Syringe Fixator at a rural hospital which incorporates percutaneous K-wires used to fix distal radius fractures after anatomical reduction. These patients were evaluated for clinical and radiographic outcomes for 1 year and compared with a historical control group of 30 patients with Hoffman II external fixator construct by the same author but at the tertiary center.VAS and DASH scores comparison was also done. Our study results have also been compared with various other known case series for treatment of fracture distal radius by Gartland and Werley score. Results: Mean radial tilt, 4 degrees; ulnar variance 0 mm and radial inclination angle was 23 degrees at 1 year final follow up. Mean loss of wrist range of motion as compared to normal side was as follows: flexion, 8 degrees, extension, 9 degrees; radial deviation, -1 degrees; ulnar deviation, 2 degrees ; pronation, -1 degrees ; and supination, 8 degrees. Average final DASH score was 9 ranging from 3-14.No statistically significant difference found in radiological and clinical variables or DASH scores between control Hoffman II fixator group and study group of Non Spanning Syringe Distractor. Using the Gartland and Werley score, there were 24 (80%) excellent to good and 6 (20%) fair to poor results which are quite comparable to other landmark studies.Conclusion: External fixation has advantages over conventional Plaster of Paris cast and pinning in the treatment of unstable extraarticular or simple intra-articular fractures of distal radius. Non Spanning Syringe Distractor provides excellent to good results in majority of our cases. It provides advantages of pinning and fixator both by preventing wrist and hand stiffness and fracture collapse as well. The Simplicity of technique, less operative time, possible in minimal regional anesthesia and cost effectiveness all together makes it very useful for limited resources scenario
Authors and Affiliations
Mohit Jai, Kinjal Mavani
Keywords
Related Articles
- EP ID EP572836
- DOI 10.26717/BJSTR.2017.01.000584
- Views 164
- Downloads 0
3D-Printed Personalized Titanium Implant Design,Manufacturing and Verification for Bone Tumor Surgery of Forearm
The 3D printing implants are currently being used to reconstruct various parts of the bone tumor area other than maxillofacial surgery area. Thanks to 3D printing implants, patients can remain their anatomic function of...
Rare Presentations of Metastatic Renal Cell Carcinoma with Hematochezia and Anemia
Renal cell carcinoma (RCC) is the sixth most common cancer in men and the eighth most common cancer in women in the United States, with an estimated 65,150 new cases diagnosed in 2013 [1]. RCC’s classic presenting triad...
An Investigator Blinded, Clinical Trial Assessing the Efficacy of Superfine Merino Wool Base Layer Garments (SMWBG) in Children with Atopic Dermatitis (AD) Measuring SCORAD1, EASI2, POEM3 and DSA4 Scores
Atopic Dermatitis (AD) is a chronic inflammatory skin disease, which occurs most often in children compared with the adult AD population [5]. Wool is commonly considered an allergen and trigger for exacerbation of AD. Ho...
A Case Study on Parikartika W.S.R Fissue in Ano
Parikartika is one of the ano-rectal disease. Its references available in Bruhatrayees. The word Parikartika means Parikartanavatvedana around guda Pradesh. It is also having the symptoms like burning sensation, sometime...
The Pediatric Neurosurgery in Northeast Brazil – Recife Has Become a Reference Centre
Brazil is the biggest Latin American country, with approximately 8,500,000Km², almost 195,000,000 inhabitants, close to 23 inhabitants perKm², 36% under 19 years old, with an infant mortality rate of 20.7 per 1000 live b...