Abstract | INTRODUCTION: Comminuted intraarticular fractures of the distal radius metaphysis are a major challenge for orthopedic surgeons. The aim of this study was to present results of the survey on treatment of these fractures using an external fixator. MATERIAL AND METHODS: RESULTS: At the end of treatment, functional results and outcomes were excellent in 39 (53.4%), good in 19 (26%), fair in 10 (13.7%), and poor in 5 (6.8%) patients according to Jakim score. Lesser degree of limitation of the movement of the wrist joint was established in 19 patients (26%). Joint incongruity of the distal radius, 0-2 mm, was observed in 22 patients (30%) and over 2 mm in 3 patients. A minimal degree of posttraumatic osteoarthrosis was recorded in 21 patients (28.7%) and moderate ostheoarthrosis in 5 patients (6.8%). CONCLUSION: The anatomic reduction of the articular surfaces and healing of the fracture in a proper functional position are prerequisites for adequate function of the wrist and hand. It appears that an external fixator, with or without Kirschner wires, can be a method of choice in treatment of these complex articular fractures.
|
Authors | Ivan Micić, Milorad Mitković, Desimir Mladenović, Sasa Karalejić, Sasa Milenković, Dorde Gajdobranski |
Journal | Medicinski pregled
(Med Pregl)
2004 Sep-Oct
Vol. 57
Issue 9-10
Pg. 473-9
ISSN: 0025-8105 [Print] Serbia |
Vernacular Title | Spoljasnji fiksator po mitkoviću u lecenju kominutivnih intraartikularnih preloma distalnog okrajka radijusa. |
PMID | 15675622
(Publication Type: English Abstract, Journal Article)
|
Topics |
- Adult
- External Fixators
- Female
- Fracture Fixation, Internal
(methods)
- Fractures, Comminuted
(surgery)
- Humans
- Male
- Radius Fractures
(surgery)
- Wrist Injuries
(surgery)
|