Using unstable fractures of the distal end of the radius: open reduction and internal fixation with T - type plate.
- Author:
Xiaoying GONG
1
;
Guowei RONG
;
Guisheng AN
;
Yan WANG
;
Jingyang LI
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Female; Fracture Fixation, Internal; Humans; Male; Middle Aged; Radius Fractures; surgery
- From: Chinese Journal of Surgery 2002;40(2):120-123
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo treat unstable fractures of the distal end of the radius with open reduction and internal fixation with T-type plate.
METHODS45 patients were treated with T-type plate. Bone graft was used in fifteen patients with severe bone defect. Clinical findings of 45 patients with fractures of the distal end of the radius (one is bilateral fractures) showed fairly good results.
RESULTSThe patients were followed up for an average period of 25.36 months. 41 patients showed excellent or good results with a rate of 91.11%.
CONCLUSIONIt is difficult to reduce unstable fracture of the distal end of the radius in the way of close reduction. Re-displacement is frequent for external fixation and is not reliable in maintaining reduction. These fractures should be treated with early open reduction and internal fixation, and reasonable exercise should be taken after the operation. Good results can be predicted. The most important factors affecting final outcome include radial shortening and reduction of articular surface.
