The Additional Use of External Fixator after Percutaneous K-Wire Fixation for Intra-articular fractures of The Distal Radius

2000 ◽  
Vol 13 (1) ◽  
pp. 139
Author(s):  
Chang Woo Kim ◽  
Ja Seong Gu ◽  
Gi Tae Jeong ◽  
Su Yeong Jeon ◽  
Tae Hoon Jeong ◽  
...  
Keyword(s):  
Distal Radius ◽  
External Fixator ◽  
Articular Fractures ◽  
Wire Fixation

scholarly journals External fixator by Mitkovic in the treatment of comminuted intraarticular fractures of the distal radius

2004 ◽  
Vol 57 (9-10) ◽  
pp. 473-479 ◽  
Author(s):  
Ivan Micic ◽  
Milorad Mitkovic ◽  
Desimir Mladenovic ◽  
Sasa Karalejic ◽  
Sasa Milenkovic ◽  
...  
Keyword(s):  
Distal Radius ◽  
External Fixator ◽  
Wrist Joint ◽  
Functional Results ◽  
Kirschner Wires ◽  
Articular Fractures ◽  
Intraarticular Fractures ◽  
Anatomic Reduction ◽  
Joint Incongruity ◽  
The Moment

Introduction Comminuted intraarticular fractures of the distal radius metaphysis are a major challenge for orthopedic surgeons. The aim of this study was to present results of the survey on treatment of these fractures using an external fixator. Material and methods 73 patients (30 females and 43 males) with closed comminuted intraarticular fractures of the distal radius, type C AO/ASIF (based on radiography at the moment of injury) were treated by a Mitkovic external fixator and followed-up for at least 2 years. An external fixator and Kirschner wires were used in 43 patients. An external fixator without Kirschner wires was used in 30 patients. Results At the end of treatment, functional results and outcomes were excellent in 39 (53.4%), good in 19 (26%), fair in 10 (13.7%), and poor in 5 (6.8%) patients according to Jakim score. Lesser degree of limitation of the movement of the wrist joint was established in 19 patients (26%). Joint incongruity of the distal radius, 0-2 mm, was observed in 22 patients (30%) and over 2 mm in 3 patients. A minimal degree of posttraumatic osteoarthrosis was recorded in 21 patients (28.7%) and moderate ostheoarthrosis in 5 patients (6.8%). Conclusion The anatomic reduction of the articular surfaces and healing of the fracture in a proper functional position are prerequisites for adequate function of the wrist and hand. It appears that an external fixator, with or without Kirschner wires, can be a method of choice in treatment of these complex articular fractures.

treatment of unstable intra-articular fractures of the distal radius with small external fixator

1992 ◽  
Vol 27 (1) ◽  
pp. 227
Author(s):  
Hyoun Oh Cho ◽  
Kyoung Duck Kwak ◽  
Sung Do Cho ◽  
Cheol Soo Ryoo
Keyword(s):  
Distal Radius ◽  
External Fixator ◽  
Articular Fractures

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.

Functional outcome in distal radius articular fractures treated by external fixator with k-wires versus volar-locking plating- A comparative study

2019 ◽  
Vol 9 (1) ◽  
pp. 19-22
Author(s):  
Rishabh Kumar ◽  
◽  
Satendra Kumar Sinha ◽  
Anand Shankar ◽  
Satyendra Kumar ◽  
...  
Keyword(s):  
Comparative Study ◽  
Functional Outcome ◽  
Distal Radius ◽  
External Fixator ◽  
Articular Fractures ◽  
K Wires

scholarly journals Management of Comminuited Intra/Juxta Articular Fracture of Distal Radius Using Bridging External Fixator

2022 ◽  
Vol 8 (1) ◽  
pp. 24-30
Author(s):  
Rakesh Sharma ◽  
Dharam Singh ◽  
Jagsir Singh ◽  
Rajesh Kapila
Keyword(s):  
Distal Radius ◽  
External Fixator ◽  
Road Traffic ◽  
Single Case ◽  
Treatment Options ◽  
Osteoporotic Fractures ◽  
Cost Effective ◽  
Functional Results ◽  
Young Males ◽  
Articular Fractures

Background: Distal radius fractures are the third most common osteoporotic fractures and are frequently treated in emergency department. They have a trimodal peak of occurrence and there has been a significant increase in incidence of involvement in elderly females and young males. Management of these fractures comes with lots of treatment options and challenges to provide good functional outcome. This prospective study was done for the management of communited intra/juxta articular fractures of distal end radius using a bridging external fixator on 25 patients. The principle of ligamentotaxis was used for alignment of fracture fragments and wrist spanning external fixator was used to maintain the fracture reduction.Methods:25 patients of either sex with age group 16 to 80 years were taken from the orthopedic department. After proper primary care, cases were classified using Fernandez classification, and posted for surgery as soon as investigations and fitness were taken.Results:Patients involved in the study were in range of 16 to 78 years with 16 patients having dominant side with road traffic accident as leading cause.Radiological union was seen at an average of 7.3 weeks, 4 patients had superficial pin tract infection, 3 patients had stiffnes and a single case had malunion. Conclusions:Modified clinical scoring system of Green and O’Brien was used to evaluate the overall functional results which showed excellent to good results in 84% of cases. Hence, properly planned and executed bridging external fixator is an easy, cost-effective and reliable treatment modality through the “Principle of Ligamentotaxis”.

scholarly journals INTRA-ARTICULAR FRACTURES OF DISTAL RADIUS;

2018 ◽  
Vol 21 (04) ◽  
pp. 649-653
Author(s):  
Waqar Alam ◽  
Faaiz Ali Shah ◽  
Khalid Mahmood Qureshi ◽  
Shams Ur Rehman ◽  
Shahid Hussain ◽  
...  
Keyword(s):  
Distal Radius ◽  
External Fixator ◽  
Functional Results ◽  
Distal Radius Fractures ◽  
Monthly Interval ◽  
Point System ◽  
Functional Evaluation ◽  
Radius Fractures ◽  
Articular Fractures

Objective: To assess the radiological and functional outcome of external fixator inthe treatment of intar-articular fractures of distal radius. Study design: Descriptive case series.Place and duration of study: Orthopaedic unit District Headquarter Hospital Temargarha LowerDir from March 2013 to March 2014. Material and methods: Twenty five patients of intra-articularfracture distal radius fulfilling the inclusion criteria were treated with AO external fixator byligamentotaxis. Preoperative and postoperative radiograph measurements were taken of radialinclination, radial tilt, and radial length, and fractures were classified according to the AO system.The fixator was removed after 6-8 week and functional assessment was done using Gartland andWerely point system at monthly interval for six months. Results: Eighteen male (72%) and 7(28%)females mean age 43.1 years with intra-articular distal radius fractures were treated with externalfixator. Preoperative mean radial inclination(10.5 degree) radial tilt(29 degrees dorsal) and radiallength(6.3 mm) were reported postoperatively as 18.8 degrees,8 degrees volar and 10 mmrespectively at final follow up visit. The functional evaluation by Gartland and Werley's pointsystem reported excellent (60% patients) ,good(20%) and fair(12%) at final follow up visit. One(4%) patient could not achieve union while one (4%) malunion was reported. Conclusions:Bridging external fixator(static) yields excellent radiological and functional results in majority ofintra-articular distal radius fractures.

scholarly journals Treatment of Comminuted Intra-articular Fractures of Distal Radius by External Fixator

2014 ◽  
Vol 1 (2) ◽  
pp. 30-34
Author(s):  
MH Mohammad Alamgir ◽  
Md. Monowarul Islam ◽  
M Ershadul Haque ◽  
M Nazrul Islam ◽  
Abdul Kader
Keyword(s):  
Distal Radius ◽  
External Fixator ◽  
Case Series ◽  
Distal Radial Fractures ◽  
Medical College ◽  
Articular Fractures ◽  
Satisfactory Outcome ◽  
The Mean ◽  
Plexus Block

Background: Treatment of comminuted intra-articular fractures of distal radius by external fixator is an important. Objective: The aim of study was to investigate the usefulness of external fixator as a treatment option for displaced comminuted intra-articular fractures of distal radius. Methodology: This case series was conducted in the Department of orthopaedic Surgery at Shaheed Suhrawardy Medical College& Hospital, Dhaka during the period of November 2011 to July 2013.  All the patients having comminuted intra-articular distal radial fractures were being treated with mini uniaxial external fixator under brachial plexus block. The average follow up was performed in about 6 month.Result: A total number of fifteen patients were enrolled for this study. The mean age with SD was 50.21±9.473. Patient outcomes were measured by modified Knirk and Jupiter score and were categorized as satisfactory and unsatisfactory groups. In this study satisfactory outcome was found in 86.0%. All fractures (100.0%) were united nicely. Few complications were encountered. Postoperative osteoarthritis was not found during follow up.Conclusion: The use of external fixator for treating the comminuted intra-articular distal radial fractures produces satisfactory result.DOI: http://dx.doi.org/10.3329/jcamr.v1i2.20516 Journal of Current and Advance Medical Research Vol.1(2) 2014: 30-34

Intraarticular Fractures of the Distal Radius Treated with Metaphyseal External Fixation

1998 ◽  
Vol 23 (3) ◽  
pp. 396-399 ◽  
Author(s):  
J. KRISHNAN ◽  
L. S. CHIPCHASE ◽  
J. SLAVOTINEK
Keyword(s):  
Range Of Motion ◽  
External Fixation ◽  
Distal Radius ◽  
External Fixator ◽  
Distal Radial Fracture ◽  
Articular Fractures ◽  
Intraarticular Fractures ◽  
Early Return ◽  
Good Range

Twenty-two patients with unstable Frykman grade 7 or 8 intra-articular fractures of the distal radius were treated with an external fixator. The distal pins were inserted into the distal radial fracture fragments, permitting movement of the wrist and hand. Eleven patients were male and 11 female, with a mean age of 50 years. All patients had regained full function with good range of motion at mean final follow-up of 12 months. However function, pain and range of motion had returned to acceptable levels 4 weeks after removal of the external fixator. This method of external fixation provides a reliable method of maintaining fracture reduction whilst allowing early return of function.

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