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[External fixator by Mitkovic in the treatment of comminuted intraarticular fractures of the distal radius].

AbstractINTRODUCTION:
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:
73 patients (30 females and 43 males) with closed comminuted intraarticular fractures of the distal radius, type C AO/ASIF (based on radiography at the moment of injury) were treated by a Mitkovic external fixator and followed-up for at least 2 years. An external fixator and Kirschner wires were used in 43 patients. An external fixator without Kirschner wires was used in 30 patients.
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.
AuthorsIvan Micić, Milorad Mitković, Desimir Mladenović, Sasa Karalejić, Sasa Milenković, Dorde Gajdobranski
JournalMedicinski pregled (Med Pregl) 2004 Sep-Oct Vol. 57 Issue 9-10 Pg. 473-9 ISSN: 0025-8105 [Print] Serbia
Vernacular TitleSpoljasnji fiksator po mitkoviću u lecenju kominutivnih intraartikularnih preloma distalnog okrajka radijusa.
PMID15675622 (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)

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