PMID: 8588966Jan 1, 1995Paper

Internal fixation of the distal radius. A comparative, experimental study

Archives of Orthopaedic and Trauma Surgery
C P RaderJ Koebke

Abstract

In a comparative, experimental examination of 60 human cadaver radii, the stability of various, widely used internal fixation procedures of a distal radius fracture loco typico using a dorsal wedge was determined. The use of 2.5-mm Kirschner wires (K-wires) delivered a 10% greater stability than 1.8-mm K-wires. The 2.7-mm polylactide rods achieved a slightly greater stability than 1.8-mm K-wires under accurate pinning conditions. Polylactide rods (35 mm length, 2 mm diameter) and polyglycolide rods (60 mm length, 2 mm diameter) proved to be 20% less solid than 1.8-mm K-wires and almost 45% less than plate fixation. The short polylactide pins, however, did not have enough hold in the proximal cortical bone. The 2.7-mm polylactide rods (60 mm length) complied with the stability prerequisites necessary for comparable substitution for K-wires in distal radius fractures.

References

Nov 1, 1992·The Journal of Bone and Joint Surgery. British Volume·P P CasteleynP Haentjens
Aug 1, 1990·Unfallchirurgie·J Mockenhaupt

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Citations

May 31, 2001·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·J C MacDermidJ H Roth
Nov 3, 2009·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Matthias SchneiderGerd Richter

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