External Fixation with Distraction for Distal Radius Fracture

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Journal of the Korean Society for Surgery of the Hand 2002;7(2):144-148.
Published online June 1, 2002.

Myung-Hwan Son, Byung-Cheol Kim, Nam-Wook Kang, Dae-Cheol Jeon

요골 원위부 골절의 신연에 의한 외고정적 치료

손명환, 김병철, 강남욱, 전대철

Abstract

Purpose
: To evaluate the clinical and radiologic results in the using of external fixation with distraction for distal radius fractures. Materials and Methods : We retrospectively analysed 25 patients who have taken operative treatment with external fixation for distal radius from 1995 to 2000. They had been followed for average of 21 months (range, 12 to 38 months). Average age was 55.84 years (range, 24 to 84 years). The patients were evaluated by Frykman classification for fracture type, and by Demerit point system for clinical results. We also analysed the amount of distraction by carpal height ratio. Radiologic results were obtained by anteroposterior and lateral view of preoperative, postoperative, and final result. Results : The clinical results were excellent in 5 cases, good in 15 cases, fair in 3 cases, and poor in 2 cases. The radiologic results were the averaged radial length, 10.1 mm (range, 8 to 12 mm), the averaged radial inclination, 19.4 degree (range, 14 to 28 degree), the averaged volar inclination, 6.1 degree (range, 0 to 12 degree), and the averaged step-off, 0.9 mm (range, 0 to 4 mm). The degree of distraction was averaged 0.59 (range, 0.53 to o.67). No significant correlation was found between amount of distraction and final result. A significant correlation was seen between severity of fracture and final result. Conclusions : External fixation with distraction for distal radius fracture is a satisfactory method of treating severe fractures.

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