Complex fracture distal end radius managed by dynamic external fixator.

Dr Rajendra Wamanrao Baitule; Dr Sanjeev V Jaiswal; Dr Ankur Chawla

Volume : VII, Issue : IX, September - 2018

Complex fracture distal end radius managed by dynamic external fixator.

Dr Rajendra Wamanrao Baitule, Dr Sanjeev V Jaiswal, Dr Ankur Chawla

Abstract :

Background:–Distal radius fractures represents most common fractures of all fracture. Distal radius fractures in the elderly may represent an insufficiency fracture associated with all of the risk factors for osteoporosis.The external fixator are mechanical efficient in complex intraarticularfractutre management, its capacity for fracture adjustment during healing period.

Material and Method:–All fractures were classified according to AO classification b and c. Baseline demographics and injury characteristics were recorded. In this study of 30 patients, 19 sustained type 23 b fracture, 11 had type 23 c fracture.All patients were managed by external fixator.

Result:–This study achieved excellent results in 20 patients, good in 6 patients, fair in 2 patients, poor in 2 patients evaluated as per the criteria suggested by Green and O’Brien Score (Cooney modification). (fig1)In this study, 8 pt had wrist pain and stiffness and 6 pt had finger stiffness as their post operative complication. Pain and stiffness in wrist and finger stiffness significantly improved after physiotherapy.

Our case series attributes to 88% of excellent to good results and 12% of fair to poor results. Thus, it suggests that ligamentotaxis plays a good role in anatomic restoration in unstable fractures as well as intra articular fractures.

Conclusion:–

1)The external fixator are mechanical efficient in complex intraarticularfractutre management, its capacity for fracture adjustment during healing period.

2)External fixator is easy and safe to use even under regional anesthesia.

3)External fixator is simple device for fracture fixation with preservation of fracture haematoma.

4)Shorter period of surgery with minimal exposure no need of torniquet

5)Minimum instrumentation and less expertise required

6)Use of dynamic external fixator in complex intraarticular fracture of distal end radius effective method of treatment. Of fracture using principle of ligamentotaxis