Anatomical Reduction with Brick-Work Technique in Comminuted Intraarticular Distal Radius Fractures
10.12671/jkfs.2018.31.1.1
- Author:
Hyoung Min KIM
1
;
Hyung Lae CHO
;
Jong Woo CHAE
;
Myung Ji SHIN
Author Information
1. Department of Orthopedic Surgery, Good Samsun Hospital, Busan, Korea. hc5771@naver.com
- Publication Type:Original Article
- Keywords:
Distal radius fracture;
Dorsal approach;
Intraarticular comminution
- MeSH:
Follow-Up Studies;
Humans;
Radius Fractures;
Radius;
Range of Motion, Articular;
Wrist
- From:Journal of the Korean Fracture Society
2018;31(1):1-8
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study examined the clinical outcomes of comminuted intraarticular distal radius fractures treated by an anatomical reduction using a brick-work technique. MATERIALS AND METHODS: Seventeen patients with AO/OTA type 23-C3 distal radius fractures were enrolled in this study. An anatomical reduction of the articular surface was achieved using a brick-work technique through the dorsal approach and dorsal plates were used for fixation. The postoperative functional results were assessed with the range of motion of the wrist and the modified Mayo wrist score (MMWS). In addition, the radial length, radial inclination, volar tilt, and Lidstrom score were evaluated from the radiology results. The mean postoperative follow-up period was 13.6 months. RESULTS: All patients showed bony union and the mean range of motion of the injured wrists was 94% (92% to 95%) of the uninjured side. The mean MMWS was 85.3, and the functional results were excellent in 12 patients, good in 4, and fair in one at the final follow-up. Based on the final radiographic measurements, the radial length, volar tilt, and radial inclination were 11.4 mm (10.0 to 13.5 mm), 6.6° (−1.8° to 9.2°), and 21.3° (20.1° to 25.7°), respectively. The radiologic results according to the Lidstrom score were excellent in 14 patients and good in three. CONCLUSION: An anatomical reduction with the brick-work technique is relatively easy, results in a reproducible clinical outcome, and could be a safe and effective treatment option for severe comminuted intraarticular distal radius fractures that are not amenable to volar plate fixation.
