Treatment of Intra Articular Fractures of Distal Radius Using External Fixator: A Short Term Study
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 9
Abstract
Background: Severely comminuted intra-articular fractures of the distal end of the radius are difficult to treat. Failure to achieve and maintain nearly anatomic restoration can result in pain, instability, and poor function. We report the results of a retrospective study of the use of a standard protocol of closed reduction and external fixation of these fractures. Methods: Fifty patients underwent closed reduction and external fixation with or without augmentation with k-wires. Thirty-three patients required additional k-wires. The mean time until the external fixator was removed was seven weeks. Study Design & Settings: Observational prospective study at a tertiary care hospital from September 2013 to August 2015. Results: At a mean of thirteen months postoperatively, the mean arc of flexion-extension was 82% of that on the uninjured side and the mean grip strength was 83% of that on the uninjured side. The mean articular step-off was 1 mm and the radial length was restored to a mean of 11 mm. According to the modified Green and O’Brien clinical rating system, twenty-five had a good or excellent result. Thirteen patients had minor Kirschner-wire-related problems. Conclusions: Closed reduction and external fixation of intra-articular fractures can restore radiographic parameters to nearly normal values, maintain reduction throughout the period of fracture-healing, and provide satisfactory functional results.
Authors and Affiliations
Mehmood Ul Hassan Mufti
Keywords
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