Results of external fixator treatment in distal radius intra-articular fractures

Abstract

Objectives: Assessing the outcomes of treatment of the radius distal end joint fractures by using the closed reduction externalfixation method.Methods: 41 intra-articular distal radius fractures of 38 patients treated in the Department of Orthopedics and Traumatologyin the Medical Faculty of Trakya University between September 1997 and December 2004 were retrospectively examined.All of the fractures were treated by using closed reduction and uniplanar radiocarpal external wrist fixator. The affected limbswere assessed functionally and radiologically during the follow-up period.Results: Mean duration of external fixation application was 7.3 weeks. Mean follow-up time was 41.6 months. From thefunctional aspect, very good outcomes were obtained in 10 cases, good outcomes in 14 cases, medium outcomes in 15cases, and bad outcomes in 2 cases. In radiologic scoring, very good outcomes were reported in 3 cases, good outcomesin 28 cases, medium outcomes in 8 cases, and bad outcomes in 2 cases. In total, 22 complications were observed. Reflexsympathetic dystrophy was observed in 15 cases, pain in the distal radioulnar joint in 8 cases, pain in distal radioulnar joint,and eburnation in 4 cases. In some cases, multiple complications were observed. There were also cases with early-stagesensation disorder and nail tip sensitivity. However, the complaints ended after the removal of the fixator.Conclusion: In intra-articular distal radius fractures, successful outcomes might be achieved by treating with external fixationwithout opening the fracture line.