Dorsally displaced distal radial double-column Die-punch fractures by dorsal approach external fixator combined with Kirschner wires.
10.12200/j.issn.1003-0034.20231218
- Author:
Fu-de JIAO
1
;
Jing-Wei ZHANG
1
;
Li-Mei ZHU
1
;
Lin AN
1
;
Yun-Qiang ZHUANG
1
;
Jian-Ming CHEN
1
Author Information
1. Department of Traumatic Othopeadics, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Die-punch fractures;
Distal radial fracture;
External fixator;
Fracture fixation, internal
- MeSH:
Humans;
Male;
Female;
Middle Aged;
Adult;
External Fixators;
Bone Wires;
Aged;
Retrospective Studies;
Radius Fractures/physiopathology*;
Young Adult;
Fracture Fixation/methods*
- From:
China Journal of Orthopaedics and Traumatology
2025;38(1):87-91
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:Investigating the clinical efficacy of treating dorsally displaced distal radial double-column Die-punch fractures using a dorsal approach external fixator combined with Kirschner wires.
METHODS:Retrospectively analyzed the clinical data of 15 patients with distal radial double-column Die-punch fractures treated with an external fixator combined with Kirschner wire between July 2020 and January 2023. There were 10 males and 5 females;6 cases on the left side and 9 on the right;age ranged from 22 to 76 years old. Recorded the preoperative and the final follow-up Cooney wrist function scores for the patients. The fracture healing time, and occurrence of complications were recorded.
RESULTS:All 15 patients were followed up ranged from 12 to 16 months post-operation. All fractures achieved bony union, healing time ranging form 8 to 16 weeks. Not a single patient exhibited complications such as surgical site infection, fracture redislocation, or tendon injury. All individuals had their Kirschner wires and external fixation devices removed six weeks post-operatively and commenced rehabilitative therapy for wrist articulation. The Cooney wrist function scores at preoperative and ranged from 5 to 45 scores, at the latest follow-up ranged from 65 to 100 scores. At the final follow-up, the results were assessed as excellent in 10 patients, good in 4 patients, and fair in 1 patient.
CONCLUSION:The clinical efficacy of treating distal radial double-column Die-punch fractures using a dorsal approach external fixator combined with Kirschner wires is satisfactory.
