Treatment of intraarticular distal end radius fractures by ligamentotaxis: A prospective study
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 2
Abstract
Fractures of distal end radius are common fractures of the upper limb, and constitute 17% of all fractures and 75% of all forearm fractures 1. This fracture shows bimodal distribution of age with the fracture more commonly seen in children and elderly. The objectives of management for a distal end radius fracture should be restoration of range of motion and grip strength while facilitating the patient’s early reinstation to normal daily activities and minimizing the chances of post traumatic arthritis. The treating orthopedician has an armada of treatment options to select from to accomplish this. Regardless of these fractures being common, there is no clear consensus on their treatment as there is no clear clinical-based evidence in the literature. For several decades, closed reduction and bridging external fixator for 4-6 weeks has been a well-established treatment of distal end radius fracture7. To reduce fracture fragments and maintain alignment, principle of ligamentotaxis is used by external fixation. This study aims to assess the functional outcome and duration for union in intraarticular distal radius fractures treated with external fixator using ligamentotaxis. The present study was carried out from 1ST December 2015 to 31ST January 2017 at Orthopaedic Department in Shri B. M. Patil Medical College Hospital and Research Center, Vijayapur. During this period 100 patients of intraarticular communited distal end radius fractures were treated surgically. We found 78% Excellent to Good results. 14 patients had Fair results while 8 patients had Poor results. Most common complication seen in our study were Pin Tract Infection (12%) and Restricted Wrist Motion (5%). It was concluded that external fixation offers good mode of treatment in communited fractures as they allow gradual distraction providing better functional and anatomical results in communited intraarticular wrist injuries.
Authors and Affiliations
Dr. Dayanand B Banapatti, Dr. Vinaykumar Babaleshwar, Dr. Santosh S Nandi, Dr. Tapan Gupta, Dr. Vijaykumar Patil
Keywords
Related Articles
- EP ID EP486822
- DOI 10.22271/ortho.2018.v4.i2h.80
- Views 124
- Downloads 0
A study of 30 cases of titanium elastic nailing system (TENS) for long bones, and its clinical outcome
Elastic stable intramedullary nails (ESIN) was popularized in 1980s in Nancy, France. Titanium is twice as elastic as steel and hence it resists permanent deformation of the nail which occurs during nail insertion. The v...
Evaluation on the outcome of management of infected Nonunion and Gap Nonunion fracture of long bones by Ilizarov method
Subcutaneous bones like tibia are susceptible to compartment syndrome, wound infection, non-union, deformities, shortening and other problems. Duration of treatment and the cost of treatment of infected non-union and gap...
Clinical analysis of fenestration technique for the treatment of lumbar disc prolapse
Background: Major part of human population suffer from lumbago. It constitutes significant proportion of orthopaedic outpatient department clinic. Lumbar disc prolapse is important cause of back pain. This constitutes to...
Role of local corticosteroid in management of tennis elbow
Background: Lateral epicondylitis or tennis elbow is common clinical and functionally limiting condition encountered by orthopedic surgeon having chronic course and its etiology and management is under controversies. The...
A new geometrical method (BMCRI Method) for measuring cup anteversion after total hip replacement
Back ground: In total hip replacement the cup placement is critical. Orientation is determined by anteversion and abduction. We have devised a simple geometrical method to calculate anteversion using simple instruments w...