Publication details
Zevní fixace zlomenin distálního radia
| Title in English | External fixation of distal radius fractures |
|---|---|
| Authors | |
| Year of publication | 2014 |
| Type | Article in Periodical |
| Magazine / Source | Úrazová chirurgie |
| MU Faculty or unit | |
| Citation | |
| Field | Traumatology and orthopaedic surgery |
| Keywords | distal radius fracture; external fixation |
| Description | AIM OF THE STUDY: The authors analyse possibilities and indications for a medical treatment of distal radius fractures by an external fi xation, present their own aggregate of patients treated at the Trauma Hospital Brno with an external fi xator for distal radius fracture. MATERIAL AND METHODS: During the years 2009-2011, we treated 45 patients for distal radius fracture by the external fi xation at the Trauma Hospital Brno. There were 17 women and 28 men, the average age was 54,9 years. Functional status was evaluated with the Gartland and Wearley point-rating system. With fracture of the 23C3 type by AO, the results of patients treated by the external fi xation are compared with the results of patients treated by the LCP. RESULTS: In a given aggregate, we found that 5 patients had an excellent functional result, 32 patients had good and fair result and 6 were classifi ed as poor. Regarding complications, we observed a pin-track infection in 5 cases, an algodystrophic syndrom in 2 cases and symptoms of carpal tunnel syndrom decompensation in 3 cases. Loss of primary correction was observed in 7 patients, in 3 patients it was necessary to deal with a symptomatic ulnocarpal impingement by ulna shortening osteotomy. CONCLUSION: The use of an external fi xation with distal radius fractures is a method of choice for treatment of higher grade compound fractures, and for solving infectious complications or compartment syndrom. The use of an external fi xation is then an alternative solution for fractures with an extensive articular surface comminution. For a good result, systematic outpatient follow-up treatment is necessary with fractures treated this way. |