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[External fixator or bone pin osteosyntheses in unstable distal intra-articular radius fractures in elderly patients]
K Neumann1, M Clarius, P Gutsfeld
1Abteilung für Unfall- und Wiederherstellungschirurgie, Kreiskrankenhaus, Akademisches Lehrkrankenhaus, TU München, Garmisch-Partenkirchen.
Abstract:
Hyperdistraction with external fixation in the treatment of distal intraarticular fractures (Frykman types VII/VIII) in elderly patients results in a higher risk of secondary shortening and loss of the radius length with functional impairment. Using the modified K-wire technique of Kapandjii, a more sufficient restoration of articular congruency can be achieved. The overall score showed 87.5% excellent and good results in the Kapandjii group, compared to 76.5% in the external-fixation group.