Fractures of the Distal Radius

Estudo da relação anatômica do nervo sensitivo radial após fixação percutânea com fios de Kirschner

“…Willenegger et al descreveram uma forma de realizar a redução incruenta e subseqüente colocação de dois fios de Kirschner de forma estática no processo estilóide, com os fios fixados na cortical oposta do rádio (4) . Fernandez et al e Trumble et al utilizaram o método de osteossíntese de Kapandji, no qual os fios eram inseridos na região dorsal, no traço da fratura (intrafocal) (5)(6) . Fios percutâneos também podem ser utilizados, como joystick, na redução e fixação de pequenos fragmentos intraarticulares, conduzindo esses ossos para a posição de redução (7)(8)(9) .…”

Conservative Treatment of Distal Radius Fractures, Importance of Radial Height

“…This problem is more evident particularly in unstable fractures [17]. It has become known that even if there is successful reduction initially in radius distal end fractures with metaphyseal fragmentation, loss of reduction develops inside the plaster cast in approximately 60% of these cases [18]. In this respect, these fractures require careful monitoring in conservative follow-up with plaster cast.…”

Clinical outcomes in management of unstable distal radius fractures treated with external fixation and internal fixation: a prospective comparative study

“…3 However other authors have reported satisfactory outcomes following EF for unstable DRFs although few authors have reported complications related to over distraction of articular injuries, including severe digital stiffness, reflex sympathetic dystrophy, and nerve dysfunction in cases managed with Ex-fix. [4][5][6] For IF, dorsal plating and fragment specific fixation techniques are less frequently performed.…”