External fixation of distal radius fractures.docVIP

 PAGE \* MERGEFORMAT 6 External fixation of distal radius fractures [Abstract] external fixation of distal radius fractures treated, 52 cases were followed up for 5 to 22 months, joint function, functional evaluation criteria assessed by Dienst, excellent 34, good in 13 cases, 5 cases; excellent rate of 90.4 %. [Keywords:] radius fractures; external fixation Often involving the distal radial fracture to the radial wrist, most shortening shift. Surgical treatment are either steel or a steel needle can not be effectively fixed, manual reduction and plaster fixation is difficult to maintain its length, the effect is not satisfactory. our hospital from November 2004 ~ August 2007, applied external fixation of distal radius fractures in 52 cases, the satisfactory results. Clinical data 1 General Information The group treated 52 cases of comminuted distal radius fractures, 21 males, female 31 cases; age of 41 to 86 years, mean 53.4 years old. Are fall injuries, including 8 cases of open fractures. By AO / ASIF classification , C complex intra-articular fracture: C1 in 8 cases a simple intra-articular fractures (2); C2 23 cases a simple intra-articular fractures (2), combined comminuted fracture; C3 in 21 cases of intra-articular comminuted fracture Additional ulnar injury. injury 10 minutes after the treatment time to 11 days, an average of 2.6 days; hurt 2 hours after the surgery to 6 days, an average of 3.7 days. 2 treatment 2.1 surgical patients to take the supine position, brachial plexus anesthesia, in the C-arm fluoroscopy to help complete the initial fracture reduction. First from the dorsal radial side of metacarpal 2 2 were cut about 1cm incision, separation and retract the extensor tendon [ 1], the two 1.5mm Schanz screws in the first 2 dorsal metacarpal radial deviation 30 direction; other two 2.5mm Schanz screws in the middle of the backbone of the dorsal radial deviation radial direction of 30 . further traction, the external fixati