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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Functional Outcome of Joshi’s External Stabilization System Fixation Using Ligamentotaxis in Displaced Distal Radius Fracture

Vrushik Kothiya, Pinakin Vora, Haresh Hadiya, Kaustubh Anjariya, Pritesh Sagarka and Jaysinh Chauhan
Page: 456-462 | Received 20 Aug 2024, Published online: 02 Oct 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.10.456.462

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Abstract

Distal radius fractures account for almost one‐sixth of all fractures in a casualty setting. The usual aim of distal radius fracture treatment is to restore the function of the wrist joint, of which the distal radius is an important part. To describe the functional outcome in patients presenting with displaced distal radius fractures who undergo Joshi’s external stabilization system (JESS) fixation. An observational study was done among 32 working‐age (18‐55 years) patients presenting with unilateral displaced distal radius fractures (excluding volar displaced) and subsequently treated with JESS fixation. The outcomes of the patients were assessed using the Green and O’Brien Scoring System modified by Cooney et al. at six months and one year following the surgery. Radiographs were also taken postoperatively and during follow‐up. Acceptable functional outcomes (good and excellent scores in the Green and O’Brien Scoring System) were observed in 78.1% of the study population. Though the functional outcome scores were higher among the younger age group, a statistically significant difference was not obtained. 96.9% of the patients had acceptable radiological reductions, and infection of the pin tracts complicated 9.4% of the cases. A significant improvement in outcome scores (p‐value 0.0001) was observed between the outcome scores at six months and one year after surgery. JESS fixation is an easy and effective method for treating displaced distal radius fractures to achieve good to excellent clinical outcomes. The functional outcome scores were better in the younger age group and male patients, but no statistically significant difference was observed.

How to cite this article:

Vrushik Kothiya, Pinakin Vora, Haresh Hadiya, Kaustubh Anjariya, Pritesh Sagarka and Jaysinh Chauhan. Functional Outcome of Joshi’s External Stabilization System Fixation Using Ligamentotaxis in Displaced Distal Radius Fracture.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.456.462
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.456.462