The Syringe External Fixator: Short- and Medium-Term Functional Outcomes From This Inexpensive and Customizable Treatment for Comminuted Intra-Articular Fractures of the Hand

Thirty-seven patients were treated over a 7-year period using the “S” Quattro dynamic external fixator. There were 30 intra-articular and nine extra-articular fractures. Patients were reviewed at an average of 22.5 months. The average total range of motion for the affected digit at follow-up was 232° for intra-articular and 241° for extra-articular fractures. We believe that this device is a simple, reliable technique in the treatment of these difficult fractures.

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Functional outcome of intra-articular fractures of distal radius using external fixator: A long term study

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v7i3.240 ◽

2019 ◽

Vol 7 (3) ◽

Author(s):

Dr Manzoor A Halwai ◽

Keyword(s):

Functional Outcome ◽

Distal Radius ◽

External Fixator ◽

Term Study ◽

Long Term Study ◽

Articular Fractures

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Evaluation of Functional Outcomes of Intra-articular Fractures of Distal Humerus by Open Reduction and Internal Fixation

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2018/32802.11489 ◽

2018 ◽

Author(s):

Gokul Chand Verma ◽

Sarita Jilowa ◽

Jitendra Singh ◽

Dinesh Rathi

Keyword(s):

Internal Fixation ◽

Functional Outcomes ◽

Open Reduction ◽

Distal Humerus ◽

Articular Fractures

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Study on functional outcome of distal radius intra-articular fractures managed by ligamentotaxis: a cross sectional study

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20194153 ◽

2019 ◽

Vol 5 (6) ◽

pp. 1094

Author(s):

Karu Shanmuga Karthikeyan

Keyword(s):

Functional Outcome ◽

Distal Radius ◽

Functional Outcomes ◽

Cost Effective ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Multiple Treatment ◽

Articular Fractures ◽

Study Population

Background: Fractures of the distal radius continue to be the one of the most common skeletal injuries treated by an orthopaedic surgeon. They are the most common fractures of the upper extremity and account for 15-20% of all fractures. All intra articular fractures need good reduction for better functional outcome. There are multiple treatment methods from casting to arthroscopic surgeries. This study has been undertaken to study the functional outcomes of distal radius intra-articular fractures managed by ligamentotaxis. The objective of the present study was to evaluate the functional outcomes of distal radial intra-articular fractures treated by ligamentotaxis.Methods: This cross sectional study was conducted in Orthopaedic department of Kilpauk Medical College between April 2017 to April 2019 on 60 patients with fracture of the distal end of radius, with comminuted fracture, who fulfilled the inclusion and exclusion criteria were included in the study. All fractures were managed by ligamentotaxis and were followed regularly and assessed after four months for their functional outcomes.Results: 80% of the study population were males. Around 67% of the study population had type III or type IV fracture according to Frykman’s classification. 84% of the study population had better prognosis with ligamentotaxis. The difference between mean Mayo wrist score between affected side and normal side was not statistically significant.Conclusions: Ligamentotaxis, external fixation for comminuted intra articular distal radius fractures is safe and effective treatment. It is also cost effective.

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External fixator by Mitkovic in the treatment of comminuted intraarticular fractures of the distal radius

Medicinski pregled ◽

10.2298/mpns0410473m ◽

2004 ◽

Vol 57 (9-10) ◽

pp. 473-479 ◽

Cited By ~ 2

Author(s):

Ivan Micic ◽

Milorad Mitkovic ◽

Desimir Mladenovic ◽

Sasa Karalejic ◽

Sasa Milenkovic ◽

...

Keyword(s):

Distal Radius ◽

External Fixator ◽

Wrist Joint ◽

Functional Results ◽

Kirschner Wires ◽

Articular Fractures ◽

Intraarticular Fractures ◽

Anatomic Reduction ◽

Joint Incongruity ◽

The Moment

Introduction Comminuted intraarticular fractures of the distal radius metaphysis are a major challenge for orthopedic surgeons. The aim of this study was to present results of the survey on treatment of these fractures using an external fixator. Material and methods 73 patients (30 females and 43 males) with closed comminuted intraarticular fractures of the distal radius, type C AO/ASIF (based on radiography at the moment of injury) were treated by a Mitkovic external fixator and followed-up for at least 2 years. An external fixator and Kirschner wires were used in 43 patients. An external fixator without Kirschner wires was used in 30 patients. Results At the end of treatment, functional results and outcomes were excellent in 39 (53.4%), good in 19 (26%), fair in 10 (13.7%), and poor in 5 (6.8%) patients according to Jakim score. Lesser degree of limitation of the movement of the wrist joint was established in 19 patients (26%). Joint incongruity of the distal radius, 0-2 mm, was observed in 22 patients (30%) and over 2 mm in 3 patients. A minimal degree of posttraumatic osteoarthrosis was recorded in 21 patients (28.7%) and moderate ostheoarthrosis in 5 patients (6.8%). Conclusion The anatomic reduction of the articular surfaces and healing of the fracture in a proper functional position are prerequisites for adequate function of the wrist and hand. It appears that an external fixator, with or without Kirschner wires, can be a method of choice in treatment of these complex articular fractures.

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