External fixation of distal radius fractures
Authors:
Radomír Suchomel; Radek Veselý; Jan Trávník
Authors place of work:
Traumatological Hospital Brno, Department of Traumatology, Faculty of Medicine Masaryk University Brno
; Úrazová nemocnice v Brně, Klinika traumatologie Lékařské fakulty Masarykovy univerzity Brno
Published in the journal:
Úraz chir. 22., 2014, č.4
Summary
Aim of the study:
The authors analyse possibilities and indications for a medical treatment of distal radius fractures by an external fixation, present their own aggregate of patients treated at the Trauma Hospital Brno with an external fixator for distal radius fracture.
Material and methods:
During the years 2009-2011, we treated 45 patients for distal radius fracture by the external fixation at the Trauma Hospital Brno. There were 17 women and 28 men, the average age was 54,9 years. Functional status was evaluated with the Gartland and Wearley point-rating system. With fracture of the 23C3 type by AO, the results of patients treated by the external fixation are compared with the results of patients treated by the LCP.
Results:
In a given aggregate, we found that 5 patients had an excellent functional result, 32 patients had good and fair result and 6 were classified as poor. Regarding complications, we observed a pin-track infection in 5 cases, an algodystrophic syndrom in 2 cases and symptoms of carpal tunnel syndrom decompensation in 3 cases. Loss of primary correction was observed in 7 patients, in 3 patients it was necessary to deal with a symptomatic ulnocarpal impingement by ulna shortening osteotomy.
Conclusion:
The use of an external fixation with distal radius fractures is a method of choice for treatment of higher grade compound fractures, and for solving infectious complications or compartment syndrom. The use of an external fixation is then an alternative solution for fractures with an extensive articular surface comminution. For a good result, systematic outpatient follow-up treatment is necessary with fractures treated this way.
Keywords:
Distal radius fracture, external fixator.
Zdroje
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Štítky
Surgery Traumatology Trauma surgeryČlánok vyšiel v časopise
Trauma Surgery
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