Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Preservation of the articular congruity is the principle prerequisite for successful recovery following distal radius fractures. The best method of obtaining and maintaining an accurate restoration of articular anatomy however, remains a topic of considerable controversy. External fixation as a method of treatment for distal end of radius fracture has more than 60 years of documented clinical experience. The main aim of this study is to evaluate the results obtained by treatment of distal end radius fractures by external fixation. In a prospective controlled study, 30 cases of unstable distal end radius fractures with intra‐articular extension were treated with uni‐planar bridging type of external fixation using the principle of ligamentotaxis and augmentation by K wires. External fixator was applied for a mean duration of 6.06 weeks and cases were followed up for an average of 36.8 weeks post operatively. Mean age of the patients was 39.03 years. 73.3% of our cases dominant hand was found to be involved which is right hand, most of fractures occurred following RTA (60%), external fixator in situ was for 5‐6 weeks in 85% cases. Assessed as per De merit point system of Gartland and Werley (modified by Sarmiento 1975) for functional results at the end of 6 months of follow up. Excellent to good functional result was noted in 80%. External fixation and ligamentotaxis provides better functional and anatomical results in comminuted intra‐articular and unstable extra‐articular wrist injuries. The successful use of external fixator for distal end radial fractures requires careful assessment of fracture pattern, appropriate patient selecting, meticulous surgical techniques, appropriate choice of fixation, judicious augmentation with internal fixation and bone grafting, careful post‐operative monitoring and aggressive early institution of rehabilitation. The final functional result of treatment of distal radius fractures not only depends on the anatomical restoration of the articular surface but also on the associated soft tissue injuries and articular damage.
How to cite this article:
N. Srinivas, Santosh and Mahesh Patil. A Cross Sectional Study to Assess Management of
External Fixation of Distal End Radius Fractures.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.502.506
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.502.506