Dynamic External Fixation for Distal Radius Fractures

Dienst, Michael; Wozasek, Gerald E.; Seligson, David

doi:10.1097/00003086-199705000-00023

Cited by 31 publications

(23 citation statements)

References 33 publications

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“…Motorized external fixators do not affect the stability of fractures during early postoperative wrist activities (Dienst et al, 1997). The external fixator can effectively maintain the radial length, but the longitudinal traction force parallel to the radius cannot restore the palmar angle of the articular surface in the distal part of the radius.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of external fixator combined with T-plate internal fixation for the treatment of comminuted distal radius fractures

et al. 2015

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ABSTRACT. This study compared the efficacy between external fixator combined with palmar T-plate internal fixation and simple plate internal fixation for the treatment of comminuted distal radius fractures. A total of 61 patients classified as type C according to the AO/ASIF classification underwent surgery for comminuted distal radius fractures. There were 54 and 7 cases of closed and open fractures, respectively. Moreover, 19 patients received an external fixator combined with T-plate internal fixation, and 42 received simple plate internal fixation. All patients were treated successfully during 12-month postoperative follow-up. The follow-up results show that the palmar flexion and dorsiflexion of the wrist, radial height, and palmar angle were significantly better in those treated with the external fixator combined with T-plate compared to those treated with the simple plate only (P < 0.05); however, there were no significant differences in radial-ulnar deviation, wrist range of motion, or wrist function score between groups (P > 0.05). Hence, the effectiveness of external fixator combined with T-plate internal fixation for the treatment of comminuted distal radius fractures was satisfactory. Patients sufficiently recovered wrist, forearm, and hand function. Treatment of comminuted distal radius fracturesIn conclusion, compared to the simple T-plate, the external fixator combined with T-plate internal fixation can reduce the possibility of the postoperative re-shifting of broken bones and keep the distraction of fractures to maintain radial height and prevent radial shortening.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of external fixator combined with T-plate internal fixation for the treatment of comminuted distal radius fractures

et al. 2015

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“…The external fixator is useful particularly in reducing and maintaining intra-articular comminution [2][3][4][9][10][11][12][16][17][18][19][20][21][22] . Reduction of intraarticular comminution is based on the principles of ligamentotaxis 11,13,16,19,22 . External fixation has been a popular for treatment of displaced fractures of distal radius, radial length and dorsal tilt have improved significantly with this method [26][27][28] .…”

Section: Discussionmentioning

confidence: 99%

“…The standard treatment of this fracture still remains controversial [1][2][3][4][5][6][7][8] . Specific problems in term of stability and immobilization due to combination of dorsal cortex and the intra-articular involvement itself are encounter [2][3][4][5][6][7][8][9][10][11][12][13] . There are many treatment options like closed reduction, casting, cast-immobilization, external fixation with or without percutaneous pin and open reduction internal fixation with plate screws and intramedullary devices.…”

Section: Introductionmentioning

confidence: 99%

“…Roger Anderson device is the early external fixation device used to treat distal radius fractures. Many authors recommended external fixation for intraarticular comminuted distal radius fractures although it has high complication rate and these are pin related [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] . For intra-articular fractures restoration of articular congruity seems to be more important and critical than restoration of radial length and reduction of dorsal tilt of articular surface radius 18 .…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2014

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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.

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“…Tag auf und konnte somit folgenlos durch eine Nachreposition beherrscht werden. Die Freigabe des distalen Kugelgelenks nach 2 Wochen stellt eine therapeutische Option bei dem von uns verwendeten Fixateursystem dar und wird von einzelnen Arbeitsgruppen empfohlen [9,43], um funktionelle Einbuûen durch eine längere Ruhigstellung zu vermeiden. Dies bedarf allerdings der sorgfältigen Abwägung.…”

Section: Diskussionunclassified

Die Behandlung instabiler distaler Radiusfrakturen mit einem transarticulären Fixateur externe Ergebnisse einer Langzeitbeobachtung

Joosten

Joist

Frebel

et al. 1999

Chirurg

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Dynamic External Fixation for Distal Radius Fractures

Cited by 31 publications

References 33 publications

Effectiveness of external fixator combined with T-plate internal fixation for the treatment of comminuted distal radius fractures

Effectiveness of external fixator combined with T-plate internal fixation for the treatment of comminuted distal radius fractures

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

Die Behandlung instabiler distaler Radiusfrakturen mit einem transarticulären Fixateur externe Ergebnisse einer Langzeitbeobachtung

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