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Distal radius fractures. Multiplanar ligamentotaxis

J M Agee1

  • 1Hand Biomechanics Lab, Inc, Sacramento, California.

Hand Clinics
|November 1, 1993
PubMed
Summary

Multiplanar ligamentotaxis, using external fixators, improves distal radius fracture alignment by addressing dorsal-palmar and radial-ulnar planes. This technique enhances fracture reduction and healing compared to uniplanar methods.

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Application of multiplanar ligamentotaxis to external fixation of distal radius fractures.

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Area of Science:

  • Orthopedic Surgery
  • Biomechanical Engineering

Background:

  • Ligamentotaxis, a principle utilizing soft tissue tension, aids fracture fragment alignment.
  • Uniplanar ligamentotaxis via longitudinal traction may not adequately restore distal radius palmar tilt.

Purpose of the Study:

  • To introduce and evaluate multiplanar ligamentotaxis for distal radius fractures.
  • To demonstrate the advantages of multiplanar over uniplanar ligamentotaxis in achieving anatomical alignment.

Main Methods:

  • Application of external fixation devices enabling multiplanar adjustments.
  • Utilizing translation in dorsal-palmar and radial-ulnar planes to manipulate fracture fragments.

Main Results:

  • Multiplanar ligamentotaxis effectively achieves appositional and tilting alignment of distal radius fracture fragments.
  • External fixators allowing multiplanar adjustments facilitate restoration of anatomic alignment.

Conclusions:

  • Multiplanar ligamentotaxis offers superior control for distal radius fracture reduction.
  • This technique is crucial for maintaining fracture reduction during the healing process.

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