Management of unstable distal radius fractures by ligamentotaxis with external fixation
Journal Title: International Journal of Orthopaedics Sciences - Year 2019, Vol 5, Issue 1
Abstract
Distal radial fractures accounts 16% in upper limb fractures. Not only management and restoration of articular compatibility is also a major task for successful recovery. External fixation, ligamentotaxis provides best functional and anatomical outcome for unstable distal radial fractures. This study was designed to assess the efficacy of ligamentotaxis with external fixation in the management of distal radius fractures. A total 32 cases with a chief complaint of unstable fractures distal radius between age group 3nd to 7th decades were considered. All fractures were fixed with external fixator with ligamentotaxis. Study outcome was evaluated by Modified of Gartland and Werley Demerit point system. 21.8% cases had excellent results, 40.6% cases had good results, 28.1% cases had moderate results and 9.3% cases had poor results when treated with ligamentotaxis with external fixation. Grip strength complication was seen in 2 cases (Table 4). No associated symptom was seen in 20 cases. Ligamentotaxis withexternal fixation is an effective method for unstable distal radius fractures management. It is minimally-invasive technique which reduces anatomical disabilities of distal radius fractures.
Authors and Affiliations
Dr. S Hari Kumar
Keywords
Related Articles
- EP ID EP555283
- DOI 10.22271/ortho.2019.v5.i1a.09
- Views 118
- Downloads 0
Surgical management of fracture neck of femur in elderly adults with cemented bipolar hemiarthroplasty
To study the functional outcome of fracture neck of femur treated with cemented bipolar hemiarthroplasty, post operative time required for mobilization of the patient, complications related to this procedure and to study...
An undiagnosed chronic back pain may come out with severe morbidity in young patient, needs to be evaluated adequately: A case report and review of literature
Introduction: there are various possible etiology for chronic back pain and malignancy is one of them. Extraskeletal Ewing’s Sarcoma usually involves sacrum while dorsolumbar junction involvement is uncommon. We are repo...
Late presentation of congenital pseudarthrosis of the clavicle
Congenital pseudarthrosis of the clavicle is a rare clinical entity, first described in 1910. We report on a 15 year old girl, who presented with a painless lump over mid-portion of right clavicle at her routine newborn...
A novel technique of managing compound tibia fractures with severe bone defects using the Ilizarov technique: A case series
Introduction: One of the commonly encountered surgical dilemmas for most orthopaedic trauma surgeons is the management of compound tibia fractures with significant bone defects. We used the Ilizarov technique to solve th...
Treatment of displaced lateral clavicular fractures with hook plate, a retrospective review
Fractures of the clavicle have been treated historically by conservative means. However lateral end fractures of clavicle are known to be unstable due to injury to the coracoclavicular ligaments. Hook plate has been used...