scholarly journals The Effect of a PEEK Material‐Based External Fixator in the Treatment of Distal Radius Fractures with Non‐Transarticular External Fixation

2020 ◽  
Author(s):  
Mao Xie ◽  
Yinghao Cao ◽  
Xianyi Cai ◽  
Zengwu Shao ◽  
Ke Nie ◽  
...  
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
External Fixator ◽  
Distal Radius Fractures ◽  
Radius Fractures

scholarly journals The Declining Use of Wrist-Spanning External Fixators

Hand ◽  
2018 ◽  
Vol 15 (2) ◽  
pp. 255-263 ◽  
Author(s):  
Venus Vakhshori ◽  
Alexis D. Rounds ◽  
Nathanael Heckmann ◽  
Ali Azad ◽  
Jessica M. Intravia ◽  
...  
Keyword(s):  
External Fixation ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
External Fixator ◽  
Low Income ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
External Fixators ◽  
Radius Fractures ◽  
Privately Owned

Background: External fixation has been traditionally used to treat comminuted or open distal radius fractures that are not amenable to open reduction internal fixation. This procedure is associated with a relatively high complication rate and has been used with decreasing frequency in recent years. However, trends in external fixation utilization for the treatment of distal radius fractures have not been described. Methods: Using the Nationwide Inpatient Sample, patients with a distal radius fracture treated with external fixation from 2003 to 2014 were identified. The annual incidence was reported, and hospital and demographic variables associated with external fixation use were determined. Results: During the study period, 593 929 patients with a distal radius fracture were identified, of which 51 766 (8.7%) were treated with a wrist-spanning external fixator. Wrist external fixation for the treatment of distal radius fractures declined steadily from 2003 to 2014. In 2003, external fixation use was highest, accounting for 17.4% of distal radius fractures. By 2014, only 4.9% of distal radius fracture were treated with external fixation. During this period, the incidence of distal radius fractures declined by 6.9% while external fixator utilization decreased by 73.7%. Patients receiving an external fixator were more likely to be male, low-income, and treated in a rural, nonteaching, privately owned hospital. Conclusions: External fixator use for the treatment of distal radius fractures steadily declined during the study period. Males and those with lower incomes treated in rural, nonteaching, and privately owned hospitals are more likely to receive external fixation.

145 Outcomes of Unstable Distal Radius Fractures – A Meta-Analysis of Bridging External Fixation Versus Volar Plating

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
J Mulrain ◽  
K Joshi ◽  
F Doyle ◽  
A Abdulkarim
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
Plate Fixation ◽  
Meta Analysis ◽  
Distal Radius Fractures ◽  
Complication Rates ◽  
Volar Plating ◽  
Radius Fractures ◽  
Increased Risk

Abstract Introduction Distal radius fractures are common and trends for fixation have changed with increased use of volar locking plates in recent time. A meta-analysis will summarise the best evidence for treatment. Method A systematic review was conducted using PRISMA methodology to identify studies that reported clinical and/or radiological outcomes in patients with AO type C distal radius fractures when treated with external fixation versus ORIF. Results 10 randomised trials were included in this review, reporting on 967 patients. Clinical outcomes are in favour of volar plating at 3 months post-operation, but no difference between the two groups is seen at 6 or 12 months. Analysis of complication rates shows a minute increase in risk-ratio for volar plating versus external fixation. Subgroup analysis showed significantly higher re-operations after plate fixation and significantly higher infection after external fixation. Conclusions Internal fixation of complex distal radius fractures confers an improved clinical outcome at early follow up only and a minimally increased risk of complications. The improved grip strength with volar plating is only superior at early follow up and no long-term superiority is seen with either intervention. The type of surgery in this injury type therefore remains at the surgeon’s consideration on a case-by-case basis.

scholarly journals Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis

2013 ◽  
Vol 8 (2) ◽  
pp. 67-75 ◽  
Author(s):  
J. C. Goslings ◽  
Monique M. J. Walenkamp ◽  
Abdelali Bentohami ◽  
M. Suzan H. Beerekamp ◽  
Rolf W. Peters ◽  
...  
Keyword(s):  
Functional Outcome ◽  
External Fixation ◽  
Distal Radius ◽  
Locking Plate ◽  
Meta Analysis ◽  
Distal Radius Fractures ◽  
Plate Versus ◽  
Volar Locking Plate ◽  
Radius Fractures

Biomechanical Analysis of Pin Placement and Pin Size for External Fixation of Distal Radius Fractures

1990 ◽  
Vol &NA; (251) ◽  
pp. 207???212
Author(s):  
WILLIAM H. SEITZ ◽  
AVRUM I. FROIMSON ◽  
DENNIS B. BROOKS ◽  
PAUL D. POSTAK ◽  
RICHARD D. PARKER ◽  
...  
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
Distal Radius Fractures ◽  
Biomechanical Analysis ◽  
Radius Fractures

scholarly journals Effectiveness of external fixator combined with T-plate internal fixation for the treatment of comminuted distal radius fractures

2015 ◽  
Vol 14 (1) ◽  
pp. 2912-2919 ◽  
Author(s):  
L.R. Han ◽  
C.X. Jin ◽  
J. Yan ◽  
S.Z. Han ◽  
X.B. He ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Distal Radius ◽  
External Fixator ◽  
Distal Radius Fractures ◽  
Radius Fractures
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