Related Experiment Videos
Dynamic external fixation of distal radius fractures
1Department of Trauma, Hand and Reconstructive Surgery, St. Vinzenz-Hospital, Köln, Germany.
Hand Clinics
|November 1, 1993
Summary
Dynamic external fixation offers a versatile approach for distal radius fractures, enabling multi-planar reduction and early wrist mobility. This method shows promise for complex fractures and malunions, with a low complication rate and potential for increased bone grafting use.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Biomedical Engineering
Background:
- External fixation has been a staple in distal radius fracture management for nearly eight decades.
- Achieving and maintaining fracture reduction are primary goals in treating these injuries.
Purpose of the Study:
- To present the application and benefits of a dynamic external fixator for distal radius fractures.
- To detail techniques for managing complex fractures, malunions, and associated injuries.
Main Methods:
- Illustrating dynamic fixator application for wrist-bridging and extra-articular fractures.
- Discussing indications for adjunctive treatments like bone grafting and K-wire fixation.
- Explaining corrective techniques for malunited distal radius fractures, focusing on radial length, angle, and shift.
Main Results:
- Initial trials demonstrate a low complication rate associated with dynamic external fixation.
- The dynamic fixator allows for three-dimensional reduction and controlled wrist motion post-fixation.
- Evidence suggests a potential need for more frequent bone grafting than previously recommended.
Conclusions:
- Dynamic external fixation is an effective method for treating distal radius fractures, including complex and malunited cases.
- The technique facilitates early wrist mobility while maintaining stable reduction.
- Further investigation into the optimal use of bone grafting in conjunction with external fixation is warranted.