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Year 2019

Volume: 5 , Issue: 2

Print ISSN:-2395-1354

Online ISSN:-2395-1362

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Indian Journal of Orthopaedics Surgery


Lower End radius fracture: a retrospective study of patients treated with external fixator, a minimal invasive method


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Author Details: Zulfikar M. Patel, Kaushal R. Patel, Sulay A. Sachdev, Ranjan B. Patariya, Bhavya B. Shah

Volume : 3

Issue : 2

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 176

Article End Page : 180


Abstract

Introduction: Fractures of lower end radius remains the most common fracture in emergency room and mostly treated with closed reduction followed by cast of paris of plaster or some surgical procedure in term of minimal invasive or invasive procedure. The minimal invasive procedure includes k wire followed by cast or external fixator.
Objective: To evaluate the effectiveness of external fixation in all types of distal end radius fractures.
Materials and Methods: This is the retrospective study of fractures of distal end of radius treated by external fixator in Civil Hospital, Ahmedabad from 2013 to 2015.

Results: This is a retrospective study of 200 consecutive unstable distal radius fractures.

-          There were 66 females and 134 males.

-          Fractures were classified according to AO classification.

-          Complications included pin tract infection loss of reduction, reflex sympathetic dystrophy and tendon attrition.

-          The patients were reviewed at a mean of 6 months after surgery for radiological and functional assessment.

-          Average volar tilt on follow up was 9.6 degrees,

-          Average radial length on follow up was 9.7 mm

-          Average radial inclination on follow up was 20 degrees.

-          Ao type C2 and C3 and osteoporotic bone shows loss of reduction.

-          150 patients had excellent or good anatomical results, according to Sarmiento criteria.

-          170 patients had excellent or good functional results. According to Gartland and Werley scoring system.

Conclusion: Thus close reduction followed by percutaneous pinning (k –wire) in term of external fixator is valuable technique for displaced and intra articular type of lower end radius fracture. The method is relatively simple, minimally invasive and reliable.

Keywords
:  lower end radius, External fixator, K (kirschner) wire, Minimal invasive