scholarly journals Correlation between Radiological Parameters and Functional Outcome of Healed Unstable Fracture Distal Radius after External Fixation

2019 ◽  
Vol 15 (2) ◽  
pp. 103-106
Author(s):  
Robin Shrestha ◽  
Hemant Gupta ◽  
Manoj Kandel
Keyword(s):  
Functional Outcome ◽  
External Fixation ◽  
Distal Radius ◽  
External Fixator ◽  
Point System ◽  
Unstable Fracture ◽  
Medical Sciences ◽  
Radiological Parameters ◽  
Clinical And Radiological Outcome ◽  
Early Functional Recovery

Background: Wrist fractures represent about one-sixth of all fractures seen in emergency department. The goal of treating such fractures is no longer only fracture union, but also the restoration of normal anatomy with early functional recovery, as well as full and painless motion of the wrist. In this prospective study we intend to evaluate the correlation between functional outcome and radiological parameters of the unstable fracture of the distal radius when treated with external fixator. Methods: A hospital based, observational study was conducted at department of Orthopedics, College of Medical Sciences Teaching Hospital, Bharat-pur, Chitwan, during the period of January 2011 to November 2013, 54 patients, 33 male and 21 female, with unstable fracture of the distal end of radius were treated with external fixator and followed for a period of 18 weeks. Results: The clinical and radiological outcome were evaluated on the basis of Modification, by Sar-miento et al., of the Demerit Point system of Gartland and Werley and Sarmiento et al’s modification of Lid-strom’s scoring system respectively at the end of 18 weeks. The clinical result was excellent in 25 cases, good in 19 cases and fair in eight cases. There were 8 (15.4%) excellent, 25 (48.1%) good, 15 (28.8%) fair and 4 (7.7%) poor cases according to radiological scoring. Conclusions: In this study we found no correla-tion between clinical outcome and radiological parameters following external fixation in distal radius fractures.

scholarly journals Outcome of unstable fractures of the distal end of the radius treated with external fixator

2015 ◽  
Vol 10 (2) ◽  
pp. 27-32
Author(s):  
HK Gupta ◽  
R Shrestha ◽  
SK Shrestha
Keyword(s):  
Prospective Study ◽  
Distal Radius ◽  
External Fixator ◽  
Treatment Options ◽  
Cost Effective ◽  
Point System ◽  
Unstable Fracture ◽  
Medical Sciences ◽  
Back Ground ◽  
Lost To Follow Up

BACK GROUND AND OBJECTIVES Fracture of the distal radius is the most common fracture treated by the orthopedic surgeons. Although there are several treatment options available today, the aim always remains to restore the anatomy and bring back the function to near normal condition. In this prospective study we intend to evaluate the functional and radiological outcome of the unstable fracture of the distal radius when treated with external fixator. MATERIALS AND METHODS In this hospital based, Prospective study conducted in department of Orthopedics, College of Medical Sciences Teaching Hospital, Bharatpur, Chitwan, during the period from January 2011 to September 2012, 54 patients, (33 male and 21 female) with unstable fracture of the distal end of radius were included in the study. All the patients were treated with external fixator and followed for a period of 12 weeks. RESULT Among 54 patients, 52 were followed up for 12 weeks and two patients were lost to follow up after six weeks. The final result was assessed in detail on the basis of Modification, by Sarmiento et al., of the Demerit Point system of Gartland and Werley at the end of 12 weeks. The result was excellent in 25 cases, good in 19 cases and fair in eight cases. There were no poor results in this series. CONCLUSION External fixator is not only easy to use, allows re-reduction, has lower rate of complications and can be stiff enough to maintain the alignment but it is also a cost effective, patient compliant method which causes lesser morbidity to the patient as compared to the other options available.DOI: http://dx.doi.org/10.3126/jcmsn.v10i2.12950Journal of College of Medical Sciences-Nepal, 2014, Vol.10(2); 27-32

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

scholarly journals To Compare the Functional Outcome of Intra Articular Distal end of Radius Fracture Treated by Conventional pop cast and External Fixatator Fixatation

2019 ◽  
Vol 4 (1) ◽  
pp. 586-591
Author(s):  
Pradeep Kumar Gupta ◽  
Ajay Kumar Yadav
Keyword(s):  
Functional Outcome ◽  
External Fixation ◽  
Closed Reduction ◽  
Scoring System ◽  
Radius Fracture ◽  
Definitive Treatment ◽  
Point System ◽  
Fixation Group ◽  
Significant Difference ◽  
Cast Group

Introduction: Distal end of radius fractures frequently have a high degree of comminution, instability, and associated with soft tissue injuries. Treatment of this distal radius fracture is controversial and there is no single definitive treatment method that is considered the standard of care. Objective: 1. To compare the functional results of the conventional POP cast and external fixator fixation of intra articular distal end of radius fracture. 2. To compare the radiological changes with that of functional outcome. Methodology: It was a prospective study comparing the functional outcome of distal intra-articular radius fracture when managed by conventional POP cast and external fixatator fixation. The final outcome was decided on the basis of modified Gartland and Werley scoring system. Total 50 patients (19 – 54 years) were recruited. 30 were treated by closed reduction and POP cast and 20 by external fixation. Radiological parameters were graded according to Schecks criteria and fracture comminution was classified according to Frykman's classification. Results: The functional outcome of the treatment was a subjective evaluation in which 80% of the patients had pain in external fixation as compared to 63% in closed reduction POP cast group. The restriction of activities was in 10% of the patient in external fixation group as compared with 33% in closed reduction POP cast group. The final scoring system as modification of Gartland and Werley point system had 5 ± 3 conventional pop cast group and 4 ± 4 in external fixation group. (p = 0.3764). On radiological evaluation, there was no significant difference in radial length, radial angle and volar tilt in two groups. Conclsion: The results show no statistically significant difference between the two modes of interventions. External fixation provides easy mobilization of fingers and reduces edema and stiffness of joints. The active ranges of movements at the wrist joints were significantly better in external fixation group. 

scholarly journals Use of Cobra External Fixator for treatment of Distal Radius Fractures

2018 ◽  
Vol 9 (6) ◽  
pp. 84-89
Author(s):  
Niraj Ranjeet ◽  
Pratyenta Raj Onta ◽  
Krishna Sapkota ◽  
Pabin Thapa ◽  
Krishna Wahegoankar ◽  
...  
Keyword(s):  
Distal Radius ◽  
External Fixator ◽  
Treatment Options ◽  
Distal Radius Fractures ◽  
Medical Sciences ◽  
Radius Fractures ◽  
Ao Classification ◽  
Functional Activities ◽  
Clavicle Fractures

Background: Distal radius fractures are one of the commonest injuries only after clavicle fractures. These fractures poses challenges to the treating surgeons as a result of which these fractures are sometime treated unacceptably and leads to poor outcome. Among various treatment options for these fractures wrist sparing Cobra external fixator is one of the options with an impressive stability and outstanding functional outcomes.Aims and Objectives: To determine whether this system can achieve adequate reduction of a variety of DRF, is able to maintain reduction despite hand and wrist movements, whether it compromises hand and wrist functions and leads to long term problems.Materials and Methods: From July 1, 2016 - June 30, 2017, all skeletally matured patients with acute distal radius fractures (AO-A2, B1, C1, C2) were adequately reduced and fixed with Cobra ex-fix. Immediately post-op patients were encouraged to start range of motion of the wrist as the pain decreased. The patients were followed up in 2,4 and 8 weeks and were analyzed clinically, radiologically, their functional outcomes and any complications.Results: Twenty-two patients were included in our study. Nine were males and 13 were females. Using the AO classification, 15 were classified as A2, 2 were B1, 3 were C1, and 2 were C2. The mean number of weeks the cobra fixator was maintained was 5.3 weeks. The Cobra ex-fix was able to achieve excellent maintenance of radial height and radial inclination and good maintenance of dorsal tilt. Recovery of functional activities according to Gartland and Werley’s functional scoring system was good to excellent in all patients at 8 weeks follow-up.Conclusion: The Cobra external fixation system is an outstanding device for use in fractures of the distal radius. It achieves superior anatomic correction and is dependable in maintaining fracture reduction even with hand and wrist use.Asian Journal of Medical Sciences Vol.9(6) 2018 84-89

scholarly journals Osteosynthesis of Unstable Fractures of Distal Radius with Volar Locking Plate

2013 ◽  
Vol 2 (1) ◽  
pp. 27-34
Author(s):  
RL Pradhan ◽  
S Sharma ◽  
BK Pandey ◽  
RR Manandhar ◽  
S Lakhey ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Distal Radius ◽  
Locking Plate ◽  
Distal Radius Fractures ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
Volar Aspect ◽  
Clinical And Radiological Outcome ◽  
Clinical Scoring ◽  
Unstable Fractures

Background: Various surgical treatment methods are available for unstable distal radius fractures. Clinical and radiological outcome with volar locking plate has been very satisfactory. The purpose of this prospective study is to evaluate the results of the treatment of unstable fractures with the volar locking plate with regard to loss of reduction, functional outcome and complications. Methods: Unstable distal radius fractures were enrolled for the study from May 2008 until July 2010. All patients were treated with 3.5 mm distal radius volar locking plate and assessed by clinical and radiological examination. The clinical scoring chart modified by Cooney was used to evaluate the functional outcome. Results: Eighteen male and 12 female patients with the average age of 42.53 (range 30- 64years) were followed up for a period of 9 to 34 months (average.23 months). There were fourteen A3 fractures, nine C1 fractures, six C2 fractures, and one C3 fracture, whereas one had a Gustilo grade I open wound on the volar aspect. Seven of the fractures had associate fracture of the ulnar styloid. The functional outcome was excellent in 23 (76%), good in 6 (20%), fair in 1 (4%) and none had poor outcome. There were very few complications in our series. Conclusion: Unstable fractures of distal radius treated by open reduction with volar locking plate provides adequate fixation with no collapse in reduction and also have satisfactory functional outcome with minimal complications. DOI: http://dx.doi.org/10.3126/noaj.v2i1.8137 Nepal Orthopaedic Association Journal Vol.2(1) 2011: 27-34

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 Unstable fractures of the pelvis treated by Ilizarov external fixation device

2010 ◽  
Vol 57 (1) ◽  
pp. 25-29 ◽  
Author(s):  
S.M. Tomic ◽  
N.S. Slavkovic
Keyword(s):  
Functional Outcome ◽  
External Fixation ◽  
Vertical Displacement ◽  
Unstable Fracture ◽  
Open Book ◽  
Type B ◽  
Fixation Device ◽  
Radiological Result ◽  
External Fixation Device ◽  
Type C

We reviewed seven patients with an unstable fracture of the pelvic ring who had been treated with a Ilizarov external fixation device after a mean follow-up of 5.5 years. There were four 'open-book' injuries (type B according to Tile) and three rotationally and vertically unstable injuries (type C according to Tile). In all patients union of fracture site had been achieved after a mean period of 65 days in patients with type B injuries and 98 days in patients with type C injuries. In the four patients with an 'open-book' injury the symphyseal diastasis was partially reduced from 46 mm to 13 mm, and additional vertical displacement reduced from 24mm to 13mm. The radiological result was excellent in one patient, good in one and poor in two patients. The functional outcome was rated as excellent in three patients and good in one patient. In patients with type C injury vertical displacement was partially reduced from 21mm to 12mm. The patients in this group had excellent, good and poor radiological result, respectively. The functional outcome was excellent in two cases and good in one case. General surgical complications were not seen. Infection at the pin sites was seen in six patients. In our study unsatisfactory or poor functional result was not registrated due to construction characteristics of Ilizarov device. Because of this characteristics there were no residual vertical displacement more then 8 mm.

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