Treatment of intraarticular distal end radius fractures by ligamentotaxis: A prospective study
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 2
Abstract
Fractures of distal end radius are common fractures of the upper limb, and constitute 17% of all fractures and 75% of all forearm fractures 1. This fracture shows bimodal distribution of age with the fracture more commonly seen in children and elderly. The objectives of management for a distal end radius fracture should be restoration of range of motion and grip strength while facilitating the patient’s early reinstation to normal daily activities and minimizing the chances of post traumatic arthritis. The treating orthopedician has an armada of treatment options to select from to accomplish this. Regardless of these fractures being common, there is no clear consensus on their treatment as there is no clear clinical-based evidence in the literature. For several decades, closed reduction and bridging external fixator for 4-6 weeks has been a well-established treatment of distal end radius fracture7. To reduce fracture fragments and maintain alignment, principle of ligamentotaxis is used by external fixation. This study aims to assess the functional outcome and duration for union in intraarticular distal radius fractures treated with external fixator using ligamentotaxis. The present study was carried out from 1ST December 2015 to 31ST January 2017 at Orthopaedic Department in Shri B. M. Patil Medical College Hospital and Research Center, Vijayapur. During this period 100 patients of intraarticular communited distal end radius fractures were treated surgically. We found 78% Excellent to Good results. 14 patients had Fair results while 8 patients had Poor results. Most common complication seen in our study were Pin Tract Infection (12%) and Restricted Wrist Motion (5%). It was concluded that external fixation offers good mode of treatment in communited fractures as they allow gradual distraction providing better functional and anatomical results in communited intraarticular wrist injuries.
Authors and Affiliations
Dr. Dayanand B Banapatti, Dr. Vinaykumar Babaleshwar, Dr. Santosh S Nandi, Dr. Tapan Gupta, Dr. Vijaykumar Patil
Keywords
Related Articles
- EP ID EP486822
- DOI 10.22271/ortho.2018.v4.i2h.80
- Views 114
- Downloads 0
A comparative study of outcome of displaced mid shaft clavicle fracture managed by operative versus conservative treatment
Background: With the increasing incidence of clavicle fractures due to road traffic accidents more emphasis is being given in the management of these fractures which brings about the debate of whether clavicle mid shaft...
Outcomes of kidney vs PEEK cages used in transforaminal lumbar interbody fusion (TLIF) for the treatment of degenerative lumbar spine
Purpose: Compared to titanium cage, polyethyletherketone (PEEK) cage with pedicle screw fixation has been increasingly used in transforaminal lumbar interbody fusion (TLIF). However, there is insufficient evidence suppor...
Efficacy of epidural steroid injection in lumbar disc disease
Purpose: Lumbar epidural steroid injection is a reasonable non-surgical option available in lumbar disc disease. We have a number of studies that have compared epidural steroid injections with discectomy for the treatmen...
Results of open fractures of tibia treated by external fixator as primary and definitive procedure
Unilateral AO external fixator was used as primary and definitive procedure for treatment of open fractures of both bones of leg. There were 37 patients, and according to Gustilo and Anderson classification there were 20...
Functional outcome of transtibial VS transportal drilling techniques in anterior cruciate ligament reconstruction
Background: Anterior Cruciate ligament injuries are one of the most common injuries of the knee. The choice of the optimal surgical method in ACL reconstruction is still unclear. A frequent cause for failure after ACL re...