Outcome of Fracture Distal End of Radius Treated By A Non-Bridging External Fixator

  • Dr Sharma JK Assistant Professor, Department of Orthopaedics, RD Gardi Medical College, Ujjain
  • Dr Shrivastava S Ruxmaniben Deepchand Gardi Medical College, Ujjain
Keywords: Fracture distal end radius, Non-bridging external fixator, fracture lower end radius

Abstract

Background: Fractures of the distal radius are among commonly encountered problems, which need optimal reduction and early rehabilitation, to provide early functional independence. Non-bridging external fixation which is relatively easy to apply, versatile, maintains reduction and allows early joint mobilization. Thus we analyzed the utility of non-bridging external fixator in fractures of distal end radius in terms of functional and radiological outcome in the rural Indian population.

Material & methods: This prospective study is done in 22 patients (24 cases) of fresh fractures of distal end radius either extra or intra-articular. All patients were treated with non-bridging external fixator and were assessed for outcome functionally by DASH score, for union and radiological parameters.

Results: Average age of patients was 47.27 years. Mean flexion-extension arc was 147° (73° flexion and 74° extension), mean pronation-supination arc was 164° (79° supination and 85° pronation) and adduction and Abduction was 32° and 11° respectively at 16 weeks post-operatively. The average radial angle restored post operatively to 18.93° (range 12.7° to 25°). The average radial length restored to 11.68 mm (range 8 mm to 14.4 mm). The average volar angle restored post treatment was 7.61° (range 3.4° to 15°). The average DASH score at 16 weeks was 9.92 (range 0.9 to 14.2).

Conclusion: Non-bridging external fixator in treatment of the distal radius fractures is an effective method of treatment, which can give excellent results in terms of functional and radiological outcome.

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Published
2019-12-31
How to Cite
1.
Dr Sharma JK, Dr Shrivastava S. Outcome of Fracture Distal End of Radius Treated By A Non-Bridging External Fixator. ojmpc [Internet]. 2019Dec.31 [cited 2020Oct.20];25(2):67-1. Available from: https://ojmpc.com/index.php/ojmpc/article/view/86
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Original Article