Yıl: 2019 Cilt: 8 Sayı: 2 Sayfa Aralığı: 80 - 90 Metin Dili: İngilizce DOI: 10.5455/handmicrosurg.25340 İndeks Tarihi: 17-10-2020

Results of external fixator treatment in distal radius intra-articular fractures

Öz:
Objectives: Assessing the outcomes of treatment of the radius distal end joint fractures by using the closed reduction externalfixation method.Methods: 41 intra-articular distal radius fractures of 38 patients treated in the Department of Orthopedics and Traumatologyin the Medical Faculty of Trakya University between September 1997 and December 2004 were retrospectively examined.All of the fractures were treated by using closed reduction and uniplanar radiocarpal external wrist fixator. The affected limbswere assessed functionally and radiologically during the follow-up period.Results: Mean duration of external fixation application was 7.3 weeks. Mean follow-up time was 41.6 months. From thefunctional aspect, very good outcomes were obtained in 10 cases, good outcomes in 14 cases, medium outcomes in 15cases, and bad outcomes in 2 cases. In radiologic scoring, very good outcomes were reported in 3 cases, good outcomesin 28 cases, medium outcomes in 8 cases, and bad outcomes in 2 cases. In total, 22 complications were observed. Reflexsympathetic dystrophy was observed in 15 cases, pain in the distal radioulnar joint in 8 cases, pain in distal radioulnar joint,and eburnation in 4 cases. In some cases, multiple complications were observed. There were also cases with early-stagesensation disorder and nail tip sensitivity. However, the complaints ended after the removal of the fixator.Conclusion: In intra-articular distal radius fractures, successful outcomes might be achieved by treating with external fixationwithout opening the fracture line.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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  • 1.Özkan M, Yaldız K, Bacakoğlu AK, Erkin A, Özcan C. Soft tissue injuries in intra-articular fractures of the distal end of the radius and their effects on wrist function. Acta Orthop Traumatol Tur 2001;35:21-7.
  • 2.Erkin A, Yaldız K, Boya H, Türkyılmaz M. Application of open reduction, plaque and / or external fixator in distal radius fractures. Ege R(Ed.) XV National Turkish Orthopedics and Traumatology Congress: 1997 September 13-17; İstanbul, Turkey. Turkish Aeronautical Association Printing House, Ankara, 1997:117-21.
  • 3.Fernandez DL. Distal fracture: the rationale of a classification. Chirurgie de la Main 2001;20:411-25.
  • 4.Seitz WH, Froimson AI, Brooks DB, Potsak P, Polando G, Greenwald AS. External fixatör pin insertion techniques: biomechanical analysis and clinical relevance. J Hand Surg Am 1991;16:560-3.
  • 5.Bilgin S, Altay M, Demirtaş M. Results of surgical treatment in distal radius fractures. Acta Orthop Traumatol Turc 2001;35:318-24.
  • 6.Rogachefsky RA, Lipson SR, Applegate B, Ouellette EA, Savenor AM, McAuliffe JA. Treatment of severely comminuted intra-articular fractures of the distal end of the radius by open reduction and combined internal and external fixation. J Bone Joint Surg Am 2001;83:509-19.
  • 7.Trumble TE, Culp R, Hanel DP, Geissler WB, Berger RA. Intra articular fractures of the distal aspect of the radius. J Bone Joint Surg Am 1998;80:582-600.
  • 8.Sudkamp NP. Soft tissue injury: pathophysiology and its influence on fracture management. In: Colt CL, Dell’Oca AF, Holz U, Kelam JF, Ochsner PE (eds.) AO principles of the fracture management. AO Publishing, Stuttgart, 2000:59-76.
  • 9.Magee DJ. Forearm, wrist and hand. In: Biblis MM (ed.) Orthopedic physical assessment. WB Saunders Company, Philedelphia, 1992:168-215.
  • 10.Weinzweig J, Watson HK. Examination of the wrist. In: Watson HK, Weinzweig J (eds.) The wrist. Lippincott Williams & Wilkins, Philedelphia, 2001:47-59.
  • 11.Young BT, Rayan GM. Outcome following nonoperative treatment of displaced distal radius fractures in low-demand patients older than 60 years. J Hand Surg Am 2000;25:19-28.
  • 12.Doi K, Hattori Y, Otsuka K, Abe Y, Yamamoto H. Intra artriküler fractures of the distal aspect of the radius: arthroscopically assisted reduction compared with open reduction and internal fixation. J Bone Joint Surg Am 1990;81:1093-110.
  • 13.Knirk JL, Jupiter JB. Intra articular fractures of the distal end of the radius in young adults. J Bone Joint Surg Am 1986;68:647-59.
  • 14.Sarmiento A, Pratt GW, Berry NC, Sinclair WF. Colles’ fractures. J Bone Joint Surg Am 1975;57:311-7.
  • 15.Biyani A. Over distraction of the radio-karpal and mid-karpal joints following external fixation of comminute distal radial fractures. J Hand Surg Br 1993;18:506-10.
  • 16.Jupiter JB. Fractures of the distal end of the radius. J Bone Joint Surg Am 1991;73:461-9.
  • 17.Fernandez DL. Correction of post traumatic wrist deformity in adults by osteotomy bone grafting and internal fixation. J Bone Joint Surg Am 1982;64:1164-78.
  • 18.Edwards GS. Intrarticular fractures of the distal part of the radius treated with the small AO external fixator. J Bone Joint Surg Am 1991;73:1241-50.
  • 19.Jenkins NH, Jones DG, Johnson SR, Mintowt-Czyz WJ. External fixation of Colles fractures. An anatomical study. J Bone Joint Surg Br 1987;68:207-11.
  • 20.Jenkins NH, Mintowt-Czyz WJ. Mal-union and dysfunction in Colles fracture. J Hand Surg Br 1998;13:291-3.
  • 21.Goslings JC, Broekhuizen AH, Boxma H, Hauet EJ, Van Riet YEA, Keman JN. Three dimensional dynamic external fixation of distal radial fractures. A prospective study. Injury 1999;30:421-30.
  • 22.Ruch DS, Vallee J, Poehling GG, Smith BP, Kuzma GR. Arthroscopic reduction versus fluoroscopic reduction in the management of intraarticular distal radius fractures. Arthroscopy 2004;20:225-30.
  • 23.Chan BK, Leong LC, Low CO, See HF. The use of the external fixator in the treatment of intra articular fractures of the distal radius. Singapore Med J 1999;40:420-4.
  • 24.Cooney WP, Dobyns JH, Linscheid RL. Complications of colles fractures. J Bone Joint Surg Am 1980;62:613-9.
  • 25.Marotta JS, Coupe KJ, Milner R, Heseltine KE. Long term bactericidal properties of a gentamicin coated antimicrobial external fixation pin sleeve. J Bone Joint Surg Am 2003;85(Suppl 3):129-31.
APA BALİK M, GURBUZ H (2019). Results of external fixator treatment in distal radius intra-articular fractures. , 80 - 90. 10.5455/handmicrosurg.25340
Chicago BALİK Mehmet Sabri,GURBUZ Hakan Results of external fixator treatment in distal radius intra-articular fractures. (2019): 80 - 90. 10.5455/handmicrosurg.25340
MLA BALİK Mehmet Sabri,GURBUZ Hakan Results of external fixator treatment in distal radius intra-articular fractures. , 2019, ss.80 - 90. 10.5455/handmicrosurg.25340
AMA BALİK M,GURBUZ H Results of external fixator treatment in distal radius intra-articular fractures. . 2019; 80 - 90. 10.5455/handmicrosurg.25340
Vancouver BALİK M,GURBUZ H Results of external fixator treatment in distal radius intra-articular fractures. . 2019; 80 - 90. 10.5455/handmicrosurg.25340
IEEE BALİK M,GURBUZ H "Results of external fixator treatment in distal radius intra-articular fractures." , ss.80 - 90, 2019. 10.5455/handmicrosurg.25340
ISNAD BALİK, Mehmet Sabri - GURBUZ, Hakan. "Results of external fixator treatment in distal radius intra-articular fractures". (2019), 80-90. https://doi.org/10.5455/handmicrosurg.25340
APA BALİK M, GURBUZ H (2019). Results of external fixator treatment in distal radius intra-articular fractures. Hand and Microsurgery, 8(2), 80 - 90. 10.5455/handmicrosurg.25340
Chicago BALİK Mehmet Sabri,GURBUZ Hakan Results of external fixator treatment in distal radius intra-articular fractures. Hand and Microsurgery 8, no.2 (2019): 80 - 90. 10.5455/handmicrosurg.25340
MLA BALİK Mehmet Sabri,GURBUZ Hakan Results of external fixator treatment in distal radius intra-articular fractures. Hand and Microsurgery, vol.8, no.2, 2019, ss.80 - 90. 10.5455/handmicrosurg.25340
AMA BALİK M,GURBUZ H Results of external fixator treatment in distal radius intra-articular fractures. Hand and Microsurgery. 2019; 8(2): 80 - 90. 10.5455/handmicrosurg.25340
Vancouver BALİK M,GURBUZ H Results of external fixator treatment in distal radius intra-articular fractures. Hand and Microsurgery. 2019; 8(2): 80 - 90. 10.5455/handmicrosurg.25340
IEEE BALİK M,GURBUZ H "Results of external fixator treatment in distal radius intra-articular fractures." Hand and Microsurgery, 8, ss.80 - 90, 2019. 10.5455/handmicrosurg.25340
ISNAD BALİK, Mehmet Sabri - GURBUZ, Hakan. "Results of external fixator treatment in distal radius intra-articular fractures". Hand and Microsurgery 8/2 (2019), 80-90. https://doi.org/10.5455/handmicrosurg.25340