Title: Functional outcome of intra-articular fractures of distal radius using external fixator: A long term study
Authors: Dr Manzoor A Halwai, M Iqbal Wani, Hilal Ahmad Kotwal
DOI: https://dx.doi.org/10.18535/jmscr/v7i3.240
Abstract
Communited intra-articular fractures of distal end of radius always poses a challenge to the treating surgeon. Inability to achieve and maintain near anatomic restoration of the fracture can cause instability, pain and reduced function. This study reported the results retrospectively of the use of standard protocol of closed reduction and external fixation of these fractures.
Methods: the study contains the 50 patients who underwent closed reduction and external fixation with or without augmentation with k-wires. Thirty three patients required additional k-wires. The mean time of fixator removal was seven weeks.
Study Design: observational prospective study at tertiary care hospital from September 2013 to august 2016.
Results: At mean of 24 months postoperatively, the mean arc of flexion-extension was 89% of that of uninjured side and mean grip strength was 90% of that of uninjured side. The mean articular step-off was 1mm and the radial length was restored to 12 mm. according to the modified Green and O’Brein rating system, 27 patients had a good or excellent result.
Keywords: distal radius, external fixator, communited, ligamentotaxis, fracture.
Communited intra-articular fractures of distal end of radius always poses a challenge to the treating surgeon. Inability to achieve and maintain near anatomic restoration of the fracture can cause instability, pain and reduced function. This study reported the results retrospectively of the use of standard protocol of closed reduction and external fixation of these fractures.
Methods: the study contains the 50 patients who underwent closed reduction and external fixation with or without augmentation with k-wires. Thirty three patients required additional k-wires. The mean time of fixator removal was seven weeks.
Study Design: observational prospective study at tertiary care hospital from September 2013 to august 2016.
Results: At mean of 24 months postoperatively, the mean arc of flexion-extension was 89% of that of uninjured side and mean grip strength was 90% of that of uninjured side. The mean articular step-off was 1mm and the radial length was restored to 12 mm. according to the modified Green and O’Brein rating system, 27 patients had a good or excellent result.
Keywords: distal radius, external fixator, communited, ligamentotaxis, fracture.
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