Treatment of Distal Radius Fractures Using the Percutaneous K-wire Reduction-Fixation and External Fixator.
10.12671/jkfs.2006.19.2.228
- Author:
Sang Jin CHEON
1
;
Ja Gyung KU
;
Dong Ho LEE
;
Hui Taek KIM
;
Jeung Tak SUH
Author Information
1. Department of Orthopaedic Surgery, College of Medicine, Pusan National University, Busan, Korea. scheon@pusan.ac.kr
- Publication Type:Original Article
- Keywords:
Distal radius;
Unstable intra-articular fracture;
Percutaneous K-wire reduction-fixation;
External fixator
- MeSH:
Arthritis;
Classification;
External Fixators*;
Follow-Up Studies;
Humans;
Osteoarthritis;
Radius Fractures*;
Radius*;
Retrospective Studies;
Transplants
- From:Journal of the Korean Fracture Society
2006;19(2):228-235
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To analyse the results of treatment of unstable intra-articular distal radius fractures using the percutaneous K-wire reduction-fixation and external fixator. MATERIALS AND METHODS: A retrospective follow-up study of 22 cases was carried out. With use of the system of AO classification 9 cases were in C1 and 7 in C2, and 6 in C3. The average duration of follow-up for all fractures was 35 months. We evaluated the radiologic results, the functional results according to clinical evaluation scoring system by Green and O'Brien and osteoarthritis grade according to arthritic grading system by Knirk and Jupiter. RESULTS: Excellent and good results were rated in 17 cases (77%) of all cases. At last follow-up the mean loss of radial length, radial inclination and volar tilt were 1.4 mm, 1.0o, and 1.4o respectively. Also 7 patients had grade I, 1 patient grade II, and 1 patient grade III arthritis. CONCLUSION: We think that percutaneous K-wire reduction-fixation and external fixation is useful treatment method for the unstable intra-articular distal radius fracture. But severely comminuted AO type C3 fractures would need additional treatments such as open reduction and bone graft to acquire and maintain the articular reduction for better results.
