بررسي تاثير درماني و عوارض زودرس جااندازي بسته و فيكساتور خارجي در مبتلايان به شكستگي ديستال راديوس

Early Clinical Result of External Fixator in Distal Radius Fractures

Background: Fractures of distal radius are common, and complications related to the fracture pattern and treatment method are seen frequently. The efficiency of use of external fixators for unstable distal radius fractures treated at one of the University hospitals during a one year period is reported here. Material and method: 22 patients with unstable distal radius fracture were managed with closed reduction and external fixation with A.O.fixator. Clinical and radiographic evaluation after a mean period of 7.5 months( 4.5-12 months) was performed. Functional evaluation by two scoring systems was done. The wrists "Grip strengths" were measured and compared with the opposite side. Results: On the basis of pain and range of motion, 12 cases had exellent, 6 good and 4 fair results. The radiographs were rated as excellent in 16, good in 5, and poor in 1 case. The length of radius was well maintained in 17 and had more than 1 millimeter shortening in 5 cases. The following complications were encountered: Pin tract infection in 2, loss of reduction in 1, dorsal first web space hypoesthesia in 1, finger stiffness in 2, Sudekʹs dystrophy in 3 cases. Conclusion: Although a small series, but a relatively low complication rate and good functional results make us advocate this treatment modality for the unstable distal radius fractures.