BACKGROUNDFracture of the distal radius ('broken wrist') is a common clinical problem. It can be treated conservatively usually involving wrist immobilisation in a plaster cast or surgically. A key method of surgical fixation is external fixation. MATERIALS AND METHODSA prospective study was carried out on 66 patients admitted between June 2014 to May 2016 for evaluation of conservative and surgical management of distal radius fractures. RESULTSExcellent, fair or good result was noticed in around 85% of cases managed conservatively and in above 90% of cases managed by external fixator. CONCLUSIONThere is some evidence to support the use of external fixation for dorsally displaced fractures of the distal radius in adults. Though, there is insufficient evidence to confirm a better functional outcome, external fixation reduces redisplacement gives improved anatomical results and most of the excess surgically-related complications are minor.
BACKGROUND Ender's nail fixation involves insertion of several nails of smaller diameter into a non-reamed medullary canal of a long bone. Fracture fixation is based on the principle of three-point fixation. It is a reliable technique of fixation in paediatric and geriatric age groups and also for pathological fractures. The present study was undertaken to study and evaluate clinically as well as radiologically. The role of Ender's nailing in various long bone fractures with regards to functional status of the patients, union of the fracture and postoperative complications. MATERIALS AND METHODS 18 patients of paediatric age group with various long bone fractures underwent operative management with flexible multiple Ender's nails. RESULTS All children achieved union in a mean time of 12 weeks. Limb length discrepancy was seen in one child. Migration of nails was seen in one child. Slight to considerable limitation of joint movements were seen in 4 patients. One patient required reoperation.
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