An Alternative Technique for External Fixation of Traumatic Intra-articular Fractures of Proximal and Middle Phalanx

2015 ◽  
Vol 19 (4) ◽  
pp. 163-167 ◽  
Author(s):  
Benjamin Kapur ◽  
Jayanath Paniker ◽  
John Casaletto
Keyword(s):  
External Fixation ◽  
Alternative Technique ◽  
Middle Phalanx ◽  
Articular Fractures

The use of trans-articular and extra-articular external fixation for management of distal tibial intra-articular fractures

Injury ◽  
2001 ◽  
Vol 32 ◽  
pp. 99-106 ◽  
Author(s):  
M. El-Shazly ◽  
J. Dalby-Ball ◽  
M. Burton ◽  
M. Saleh
Keyword(s):  
External Fixation ◽  
Articular Fractures

scholarly journals External and internal fixation for comminuted intra-articular fractures of distal radius

1970 ◽  
Vol 7 (4) ◽  
pp. 369-373 ◽  
Author(s):  
RL Pradhan ◽  
S Lakhey ◽  
BK Pandey ◽  
RR Manandhar ◽  
KP Rijal ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
External Fixation ◽  
Distal Radius ◽  
Open Reduction ◽  
Distal Radius Fractures ◽  
High Rate ◽  
Volar Plating ◽  
Radius Fractures ◽  
Articular Fractures

Background: Distal radius fractures are a common injury and without proper treatment leads to high functional impairment and frequent complications. Objective: The aim of this study was to see the functional outcome in patients with comminuted distal radius fractures treated with combined external fixation and open reduction with volar plating. Materials and methods: All comminuted distal radius fractures classified as type C in AO/OTA classification were enrolled for the study from 2005 till 2008. The clinical scoring chart modified by Cooney was used to evaluate the functional outcome. Results: There were twenty-two patients with the average age of 42.18 years (range 19-60) with 15 male and 7 females. The follow-up period was from 14 to 46 months. Accordingly, there were 11 (50%) excellent, 7 (31%) good, 2 (9%) fair and 2 (9%) poor results. There were very few complications in our series. In three patients additional K-wire supplementation was necessary along with external and open internal fixation. Conclusions: Comminuted intra-articular fractures of distal radius should be treated by open reduction and combined internal and external fixation to achieve a high rate of patient satisfaction and satisfactory functional outcome. Key words: distal radius fractures; volar plating; external fixationDOI: 10.3126/kumj.v7i4.2756 Kathmandu University Medical Journal (2009) Vol.7, No.4 Issue 28, 369-373

scholarly journals EXPERIENCE IN TREATMENT OF DISTAL HUMERAL EPIMETAPHYSEAL INTRA-ARTICULAR FRACTURES USING COMBINED OSTEOSYNTHESIS BY SUBMERSIBLE SCREWS AND EXTERNAL FIXATION HINGE DISTRACTION SYSTEM

2018 ◽  
Vol 25 (2) ◽  
pp. 56-62
Author(s):  
A. A. Shuiskiy ◽  
G. A. Kesyan ◽  
R. Z. Urazgil’deev ◽  
G. S. Karapetyan ◽  
I. G. Arsen’ev ◽  
...  
Keyword(s):  
External Fixation ◽  
Dash Score ◽  
Joint Stability ◽  
Articular Fractures ◽  
Articular Surfaces ◽  
Fracture Consolidation ◽  
Secondary Displacement ◽  
Combined Osteosynthesis ◽  
Passive Movements

Purpose of study: to evaluate the results of distal humeral epimetaphyseal intra-articular fractures treatment by the proposed combined osteosynthesis technique.Patients and methods. From 2014 to 2017 thirty three patients (21 male, 12 female) aged 22-68 years were treated for the distal humeral epimetaphyseal intra-articular fractures of types 13B1.2 — 13B3.3, 13C1.3 and 13C3.1t by AO/OTA classification. The technique included open reposition, transchondral osteosynthesis using titanium alloy (n=18) and biodegradable (n=15) cannulated screws followed by the application of the external fixation hinge distraction system. The results were evaluated roentgenologically and by DASH Score. Results. Follow up period made up from 3 to 12 months. Fracture consolidation was achieved in all patients. Functional treatment results were evaluated by DASH Score. In 30 patients the results were assessed as excellent, in 3 — good. No poor results were recorded.Conclusion. The advantages of the proposed technique are the early initiation of active and passive movements in the operated joint to prevent contracture and posttraumatic arthrosis development, reduction of risks of fracture fragments secondary displacement and screw migration, joint unloading owing to articular surfaces dosed distraction, ensuring of the operated joint stability. The result did not depend on the type of cannulated screw used.

scholarly journals External fixation is more suitable for intra-articular fractures of the distal radius in elderly patients

Bone Research ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Chuang Ma ◽  
Qiang Deng ◽  
Hongwei Pu ◽  
Xinchun Cheng ◽  
Yuhua Kan ◽  
...  
Keyword(s):  
Elderly Patients ◽  
External Fixation ◽  
Distal Radius ◽  
Articular Fractures

Complex Articular Fractures of the Distal Radius: The Role of Closed Reduction and External Fixation

2008 ◽  
Vol 33 (3) ◽  
pp. 305-310 ◽  
Author(s):  
A. BINI ◽  
M. F. SURACE ◽  
G. PILATO
Keyword(s):  
Retrospective Study ◽  
External Fixation ◽  
Distal Radius ◽  
Functional Results ◽  
Ao Classification ◽  
Radial Inclination ◽  
Articular Fractures ◽  
Acceptability Criteria

Twenty-two patients underwent surgery for 23 complex articular fractures of the distal radius of C.3 type, according to the AO classification. The surgical treatment consisted, in all cases, of a closed, or limited-open, reduction and external fixation. The functional and radiographic results were analysed at a mean follow-up of 40 months. This retrospective study confirms that satisfactory functional results where obtained in 12 out of the 15 wrists where all the intra and extra-articular parameters of the Fernandez’ criteria where respected. For those wrists where keeping with Fernandez’ criteria for intra-articular parameters and ulnar variance was not possible, four of eight had satisfactory results. As far as the acceptability criteria for radial inclination and dorsal tilt are concerned, the functional results seem to suggest that a little wider tolerance than proposed in the literature could be accepted.

Intra-Articular Fractures of the Distal Radius: A Prospective Randomised Controlled Trial Comparing Static Bridging and Dynamic Non-Bridging External Fixation

2003 ◽  
Vol 28 (5) ◽  
pp. 417-421 ◽  
Author(s):  
J. KRISHNAN ◽  
A. E. R. WIGG ◽  
R. W. WALKER ◽  
J. SLAVOTINEK
Keyword(s):  
Randomised Controlled Trial ◽  
Randomized Trial ◽  
External Fixation ◽  
Clinical Outcomes ◽  
Distal Radius ◽  
External Fixator ◽  
Controlled Trial ◽  
Articular Fractures ◽  
Significant Difference ◽  
Randomised Controlled

This prospective randomized trial compared a non-bridging external fixator with a bridging external fixator system for the treatment of severe comminuted intra-articular fractures of the distal radius. The results did not demonstrate a statistically significant difference in the radiological and clinical outcomes achieved with these two treatments.

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