You are here

Home » Content

“Evaluation of Results of external fixation of unstable intaarticular distal radius fractures augmented with K wires”

Journal Name:

  • Indian Journal of Basic & Applied Medical Research

Publication Year:

  • 2013

Key Words:

Author NameUniversity of Author
Abstract (2. Language): 
Introduction: The present study was planned to assess results of the use of the external fixator and per cutaneous K wires in the treatment of intra-articular fractures of the distal radius . Material & Methods : Thirty two patients with these fractures have been treated at our hospital between 2005 and 2010 with the use of external fixator augmented with K wires.. The patients were assessed at least one year post-operatively after a course of physiotherapy. Results were assessed with subjective and objective methods ( goniometric measurement of movements and radiographic assessment). Complications : Included early finger stiffness, pin-tract infections. Discussion: Use K wire to secure radial styloid fragment as a lateral buttress, elevate and fix lunate fossa fragment, add supplementary bone grafting in appropriate cases demonstrated precise articular restoration and overall satisfactory results. Results: The majority of patients (65%) had either good or excellent results, based on objective and subjective criteria.
Bookmark/Search this post with
FULL TEXT (PDF): 
PDF icon 569-575.pdf
  • 6
569-575
  • English

REFERENCES

References: 

1. Weber SC, Szabo RM. Severely comminuted distal radial fracture as an unsolved problem: complications associated with
external fixation and pins and plaster techniques. J Hand Surg 1986; 1-A:157-65.
2. Rayhack JM. The history and evolution of percutaneous pinning of displaced distal radius fractures. Orthop Clin North Am
1993; 24:287-300.
3. Hastings HII, Leibovic SJ. Indications and techniques of open reduction: internal fixation of distal radius fractures Ortho Clin
North Am 1993; 24:309-26.
4. Muller ME, Nazarian S, Koll P. Classification AO Defracturen. Berlin: Springer-Verlag 1987.
5. Seitz WH, etal. Augmented external fixation of unstable distal radius fractures. The jou of hand surg 1991,16A,No 61010-
1016
6. Sarmiento A, Pratt GW, Berry NC, Sinclair WF. Colles’ Fractures: Functional Bracing in supination. J Bone Joint Surg 1975;
57-A:311-7.
7. Sanders RA, Keppel FL, Waldrop JI. External fixation of distal radial fractures: Results and complications. J Hand Surg
1991; 16-A:365-89.
8. Suso S, Combalia A, Segur JM, Ramiro SG, Ramon R. Comminuted intra-articular fractures of the distal end of the radius
treated with the Hoffman external fixator. J Trauma 1993; 35:61-6.
9. Vaughan PA, Lui SM, Harrington IJ, Maistrelli GL. Treatment of unstable fractures of the distal radius by external fixation. J
Bone Joint Surg 1985; 67-B:385-9.
Indian Journal of Basic & Applied Medical Research; March 2013: Issue-6, Vol.-2, P. 569-575
575
www.ijbamr.com
10. McQueen M, Caspers J. Colle’s fractures: does the anatomical result affect the final function? J Bone Joint Surg 1988; 70-
B:649-81.
11. Seitz WH. External fixation of distal radius fractures. Orthop Clin North Am 1993; 24:255.
12. Seitz WH, etal. Biomechanical analysis of pin placement and pin size for external fixation of distal radius fractures. Clin
Orthop. 1990;251:207-12
13. Grana WA, Kopta JA. The Roger Anderson device in the treatment of fractures of the distal end of the radius. J Bone Joint
Surg 1979; 61-A:1234-8.
14. Seitz WH, etal. Reduction of treatment related complications in the external fixation of unstable distal radius fractures.
Orthop Trans 1989;13:567-68
15. Leung KS, Shen WY, Leung PC et al. Ligamentotaxia and bone grafting for comminuted fractures of the distal radius. J Bone
Joint Surg 1989; 71-B:838.

Thank you for copying data from http://www.arastirmax.com