Multifunctional external fixation of unstable fracture of the distal radius.doc

 PAGE \* MERGEFORMAT 11 Multifunctional external fixation of unstable fracture of the distal radius Of: Yang Hao Wang Xinli Liu Guojie Louyuan Jun Comminuted distal radius fractures that occurred away from the articular surface of distal radius fractures within 3cm, this site is spongy bone and compact bone junction, is anatomical weak areas. Once the force is likely to occur by fracture, its occurrence bimodal age distribution, more common in children and the elderly, especially women with osteoporosis [1], its incidence is about 17% of emergency fracture patients [2], is a common orthopedic clinic, a high-energy injury, often lead to serious intra-articular comminuted fracture and displacement, are unstable fracture, part of the low-energy osteoporotic fractures may also be unstable. closed reduction and external fixation splint or plaster is often difficult to maintain the reset position, advanced easily lead to wrist joint deformities, traumatic arthritis, chronic pain, movement disorder and other sequelae. our department from 2000 to 2006 application multifunctional external fixator unstable distal radius fractures in 18 cases, by 6 to 18 months of follow-up , satisfactory results are reported as follows. 1 Clinical data 1.1 General information on this group of distal radius fractures were 18 cases, all for fresh fractures, treatment time half an hour to 2 days. 11 males and 7 females, 5 cases of left and right in 13 cases, 4 cases of open fractures, closed 14 cases of fracture, causes of injury: falls in 14 cases, 3 cases of traffic accidents, machine injury in 1 case. aged 36 to 68 (average age 51 years). All patients had fracture displacement, of which 13 cases of dorsal displacement , palm side of the shift in 5 cases. fractures involving the radiocarpal joint line and accompanied by bone displacement in 12 cases, distal radioulnar joint subluxation in 4 cases. fractures Category: Colles fracture in 13 cases, Smith fracture in 5 cases.