External fixation of wrist fractures

One hundred and twenty-six wrist fractures treated by external fixation were reviewed, with an average followup of six months (range: one to 48 months). Most of the fractures were unstable. A radius-second metacarpal standard half-frame was used in 93.6%. Prolonged capsuloligamentous distraction of the wrist probably provides the best stabilization for comminuted and unstable wrist fractures. The versatility of the Hoffmann® External Fixator allows multiple attempts at reduction, possible secondary resumption of reduction, and release of distraction at the third week. In spite of instability and comminution of the fractures, roentgenographic results were satisfactory in 94.4%. In spite of 10.4% primary skin injury, no case of osteomyelitis was seen.