[Dynamic treatment of para-articular wrist and articular radius fractures with a new kind of dynamic fixation]

During a period of almost ten years with 280 cases, experience has been gathered in connection with the immobilisation of radius fractures, in the vicinity of the wrist, by means of the fixateur externe. The good x-ray and functional results, overshadowed by the long physiotherapy later, have always aroused the wish for early mobilisation coincidal with the fixateur. The hither to wellknown movable fixateur such as that from Cleyburn have the disadvantage that the mounting of the apparatus can first be carried out after the reduction of the radius-fracture. Jonsson suggested a movable fixateur, that could be attached to the well-known Midifixateur of Hoffmann. In collaboration with the Howmedica company, we further developed this apparatus so that the wrist could remain active even under the necessary traction. The first six patients treated with this type of apparatus stood out from the rest, after removal of the fixateur, due to the instant and satisfactory mobility of the wrist. Needless to say, by using this movable apparatus, the lengths of treatment and line off work can be drastically reduced to a minimum. The movable fixateur will be on the market and obtainable in the near future.