Results and Functional Outcomes In Lower End Radius Fractures With Conventional Bridging External Fixator; Tips And Tricks

Indian Journal of Applied Basic Medical Sciences
Year: 2019, Volume: 21(B), Issue. (2)
First page: (211) Last page: (226)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:

Results and Functional Outcomes In Lower End Radius Fractures With Conventional Bridging External Fixator; Tips And Tricks
Pathik Vala1*
, Gaurav Parikh2, Bhavik Dalal3, Ajay Devda4 and Rutvik shah5 1Assistant Professor, 2-5Resident,Department of orthopedics AMC MET Medical College and LG Hospital ,Maninagar ,Ahmedabad Pin 380008
Corresponding author email id: pathikvala88@gmail.com

Online Published on 02-Jul-2019

ABSTRACT

Distal radius fractures are the commonest fractures occurring in the upper extremity, accounting for 15‐20% of patients treated in emergency department. Although distal radial fractures were described many years ago, they still remain as unsolved fractures with no clear guidelines. It is often reported that anatomical reduction has a bearing on the functional outcome.To study the management of distal end radius fracture by utilizing the principle of ligamentotaxis where in the reduction obtained by closed means is maintained by external fixator till solid bony union occurs.A total of 24 cases were selected for study by scrutiny of the inclusion and exclusion criteria. Most of our cases were treated with external fixator within 6 hrs of injury. Bridging ex‐fix with 2 pins each in radius and 2nd metacarpal percutaneously was used for all the cases. Selective k wire fixation was done in cases of instability. Fixator was removed after 6 weeks. Guided physiotherapy was ensured in all the cases. Patients were followed up for an average of 9 months.Modified Gartland and Werley scoring system was used to evaluate the overall functional results. Excellent to good results were achieved in 88.45% of our cases while fair result was in 11.54 %. One case had pin loosening and two other cases had malunion.External fixator used for ligamentotaxis is an effective method of treating unstable extraarticular and complex intraarticular fractures of distal radius.Improved anatomical restoration with early rehabilitation has produced favourable functional outcome in our series. The complications like pin tract infection is rare due to the availability of superior antibiotics and sterile surgical technique. Complications like wrist and finger stiffness has improved with physiotherapy.

Keywords

ligamentotaxis, percutaneously, metacarpal, physiotherapy

[pms-restrict subscription_plans=”10827″]
[/pms-restrict]