PMID: 9170377May 1, 1997Paper

Dynamic external fixation for distal radius fractures

Clinical Orthopaedics and Related Research
M DienstD Seligson

Abstract

Thirty adult patients with closed comminuted and mostly intraarticular fractures of the distal radius were treated by closed reduction and immobilization with a dynamic external wrist fixator during a 2-year period. In 13 patients with severely comminuted and unstable fractures, additional Kirschner wires were used. After 10 to 14 days of rigid fixation in neutral position, the motion element was unlocked to allow up to 30 degrees flexion. Six weeks later, the fixator was removed. The patients then were observed for an average of 24 weeks. An excellent functional outcome was seen in 6 patients (20%), a good outcome in 20 patients (67%), and a fair outcome in 4 patients (13%). Anatomically, 15 patients (50%) had an excellent result, 14 (47%) a good outcome, and 1 (3%) a fair outcome. Only minimal loss of reduction averaging 1 degree palmar tilt was seen during mobilization. There were 2 major complications: 1 deep Kirschner wire tract infection and 1 index metacarpal fracture. Minor complications such as sensory disturbances and pin tenderness were present but recovered completely after removal of the fixator. This study provides promising data and offers an alternative method in the treatment of distal radius fractures with sev...Continue Reading

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Citations

May 12, 2001·Clinical Orthopaedics and Related Research·J C GoslingsR M Patterson
Mar 8, 2006·Techniques in Hand & Upper Extremity Surgery·M H HenryM V Masson
Nov 19, 2013·Techniques in Hand & Upper Extremity Surgery·Seth D DoddsAlem Yacob
Jun 18, 1999·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·L M HoveA O Mølster
Apr 14, 2017·Hand : Official Journal of the American Association for Hand Surgery·Eric G HuishMarc A Trzeciak
Apr 23, 2009·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Paweł Grala, Wojciech Zieliński
Jul 26, 2005·Hand Clinics·John A McAuliffe

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