External Fixation of Complex Hand and Wrist Fractures

Riggs, Stanley A.; Cooney, William P.

doi:10.1097/00005373-198304000-00011

Cited by 47 publications

(19 citation statements)

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“…The goal of management of these fractures is to achieve anatomic reduction and to maintain it by firm fixation until united 2-5, 9, 11-13, 19-22 . Comminution of the dorsal cortex of radius and intra-articular involvement render these fracture inherently unstable [9][10][11][12][18][19][20][21][22] . Even if proper reduction can be achieved, loss of reduction and shortening of radius after a few days or weeks is almost inevitable with conventional cast immobilization 16,19,[21][22] .…”

Section: Discussionmentioning

confidence: 99%

“…After Anderson's original description of external fixator, improved anatomical and functional results were reported 2-4,9-10, [16][17][18][19][20][21][22] . 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] .…”

Section: Discussionmentioning

confidence: 99%

“…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 .…”

Section: Discussionmentioning

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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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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“…The specific method of external fixation is less important in the treatment of these fractures than adhering to the principle of maintaining reduction with fixed tractions (18,26,43,48,49,50,56). Simpson et al studied different fixation devices in a biomechanical study.…”

mentioning

confidence: 99%

Current Concepts Review

Smith¹

1982

Journal of Pediatric Orthopaedics

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The authors review the treatment of fractures of the distal radius, based on their experience and from data in the literature. The choice of a treatment for any given fracture must take into account first of all the stability of the fracture. The best results are achieved in stable fractures. Only minimally displaced distal radius fractures can be treated functionally. However, a plaster cast for one week is indicated for the comfort of the patient. In displaced but stable fractures both closed reduction and percutaneous fixation are indicated. In case of closed reduction, the plaster cast should be applied for 5 to 6 weeks with an above-elbow cast for 3 weeks. Percutaneous fixation gives the best results in extraarticular fractures in younger patients. Because of its simplicity however, it should not be ignored in the elderly osteoporotic patients. In the authors' experience, both techniques were only used for extraarticular fractures. Good and excellent results were found in the closed reduction and plaster cast group in 74% of the patients ; the Kapandji technique gave 75% good and excellent results. These results are in line with other findings which show that, for simple fracture types, the Kapandji technique and closed reduction seem to give similar results. External fixation is widely used for intra-articular comminuted fractures. Dynamic external fixation does not show any advantage over static devices. Additional K-wires or bone grafting may be necessary. External fixation gives superior results to plate and screw fixation. Internal fixation should be reserved for fractures with ventral comminution or severe displacement with unacceptable reduction by closed or minimally invasive techniques.

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Combined Fractures of the Distal Radius—Type V

Fernández

Jupiter

1996

Fractures of the Distal Radius

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External Fixation of Complex Hand and Wrist Fractures

Cited by 47 publications

References 0 publications

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

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

Current Concepts Review

Combined Fractures of the Distal Radius—Type V

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