Use of the Clyburn External Fixator in Fractures of the Distal Radius

Lennox, Jack D.; Page, Brian Joseph; Mandell, R. M.

doi:10.1097/00005373-198903000-00008

Cited by 14 publications

(2 citation statements)

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“…In the ORIF group, the radial height measured 11 mm (range 7-13); whereas in the external fixation group it averaged 10 mm (range 6-12). The radial inclination measured 23°(range 18-27) and 21° (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25) between the ORIF and external fixation cohorts, respectively.…”

Section: Resultsmentioning

confidence: 99%

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Comparison of Locked Volar Plating Versus Pinning and External Fixation in the Treatment of Unstable Intraarticular Distal Radius Fractures

Rizzo

Katt

Carothers

2007

Hand (New York, N,Y.)

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Introduction We retrospectively compared the outcomes of open reduction and internal fixation (ORIF) with volar locking plate versus standard external fixation and percutaneous pinning in treating similar unstable distal radius fractures with a minimum 2-year follow-up. Methods The ORIF group included 41 patients with an average follow-up of 29 months. The external fixation group comprised 14 patients with an average follow-up of 33 months. Average age at presentation was 45 years in the external fixation group and 48 years in the ORIF group. The male/female ratios were 16:25 among the ORIF group and 6:8 in the external fixation group. The two groups were compared for clinical and functional outcomes measured by the disabilities of the arm, shoulder, and hand (DASH) score. Pain scores were similar. Radiographic measurements were also evaluated between groups. Results Final ranges of motion and grip strengths were similar between the two groups. The mean DASH score of the locked volar plate group was 9 compared to 23 for the external fixation group. Radiographically, volar tilt and radial length were significantly better in the patients treated with ORIF. The ORIF group required less therapy visits. No complications occurred in the locked volar plate group whereas two patients had pin tract infections and one had prolonged finger stiffness in the external fixation group. ConclusionLocked volar plating compares favorably to external fixation and pinning for amenable fracture patterns. Whereas grip and range-of-motion data were similar, DASH scores, frequency of rehabilitation, and some radiographic parameters were superior in patients treated with ORIF.

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Section: Resultsmentioning

confidence: 99%

“…The use of external fixation and pinning has demonstrated successful outcomes in multiple studies [7, 10, 16, 18, 23]. Cooney et al demonstrated 90% good and excellent results in their review of external fixation and pinning for unstable distal radius fractures [7].…”

Section: Discussionmentioning

confidence: 99%