Treatment of Intra Articular Fractures of Distal Radius Using External Fixator: A Short Term Study
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 9
Abstract
Background: Severely comminuted intra-articular fractures of the distal end of the radius are difficult to treat. Failure to achieve and maintain nearly anatomic restoration can result in pain, instability, and poor function. We report the results of a retrospective study of the use of a standard protocol of closed reduction and external fixation of these fractures. Methods: Fifty patients underwent closed reduction and external fixation with or without augmentation with k-wires. Thirty-three patients required additional k-wires. The mean time until the external fixator was removed was seven weeks. Study Design & Settings: Observational prospective study at a tertiary care hospital from September 2013 to August 2015. Results: At a mean of thirteen months postoperatively, the mean arc of flexion-extension was 82% of that on the uninjured side and the mean grip strength was 83% of that on the uninjured side. The mean articular step-off was 1 mm and the radial length was restored to a mean of 11 mm. According to the modified Green and O’Brien clinical rating system, twenty-five had a good or excellent result. Thirteen patients had minor Kirschner-wire-related problems. Conclusions: Closed reduction and external fixation of intra-articular fractures can restore radiographic parameters to nearly normal values, maintain reduction throughout the period of fracture-healing, and provide satisfactory functional results.
Authors and Affiliations
Mehmood Ul Hassan Mufti
Keywords
Related Articles
- EP ID EP214397
- DOI -
- Views 42
- Downloads 0
Awareness of HIV/AIDS among Rural Population in Bathinda District of Punjab
A study was conducted to assess the awareness of HIV/AIDS among 300 rural peoples in the Bathinda district of Punjab. It was found that about 40% of rural people were aware about the transmission of HIV/AIDS through sexu...
Socio-demographic Profile and Health Seeking Behaviour among Malaria Patients in Western Odisha
Background: The prevention and control of vector born disease is complex. Under NVBCDP some of the pronged strategy for prevention & control of malaria is early case detection and complete treatment, strengthening of ref...
Application of Theory of Planned Behavior: Intension of Health Care Providers to Initiate Clients for Provider Initiated Counceling and Testing. A Case Study of Gedeo Zone, South Ethiopia
Ethiopia is among the countries most affected by HIV epidemic prevalence. In spite of arrangements made to advance HIV testing and related services, evidences suggest that many opportunities to diagnose individuals at he...
Comparative Clinical Analysis of two Different Approaches of Cinematically Presented Oral Health Education Among Patients Seeking Prosthetic Rehabilitation
Statement of the problem: Health education of the patient about his treatment is an essential part of comprehensive care. Every treatment has related information that patient has to follow. Advances in multimedia, especi...
Study of Patients with Non Alcoholic Fatty Liver Disease and its Association with Metabolic Syndrome in tertiary centre
NAFLD Nonalcoholic fatty liver disease (NAFLD) is emerging as an important cause of liver disease in India. NAFLD includes patient with simple steatosis, as also those with non alcoholic steatoheaptitis (NASH). NASH is m...