Publication: External and internal fixation for comminuted intra-articular fractures of distal radius
Date
2009
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Abstract
Background: Distal radius fractures are a common injury and without proper treatment leads to high functional
impairment and frequent complications.
Objective: The aim of this study was to see the functional outcome in patients with comminuted distal radius fractures
treated with combined external fixation and open reduction with volar plating.
Materials and methods: All comminuted distal radius fractures classified as type C in AO/OTA classification were
enrolled for the study from 2005 till 2008. The clinical scoring chart modified by Cooney was used to evaluate the
functional outcome.
Results: There were twenty-two patients with the average age of 42.18 years (range 19-60) with 15 male and 7 females.
The follow-up period was from 14 to 46 months. Accordingly, there were 11 (50%) excellent, 7 (31%) good, 2 (9%)
fair and 2 (9%) poor results. There were very few complications in our series. In three patients additional K-wire
supplementation was necessary along with external and open internal fixation.
Conclusions: Comminuted intra-articular fractures of distal radius should be treated by open reduction and combined
internal and external fixation to achieve a high rate of patient satisfaction and satisfactory functional outcome.
Key words: distal radius fractures, volar plating, external fixation
Description
Pradhan RL, Lakhey S, Pandey BK, Manandhar RR, Rijal KP, Sharma S
Department of Orthopaedics, Kathmandu Medical College, Sinamangal, Nepal