Published August 19, 2022 | Version v1
Journal article Open

Outcome of distal radius fracture treated with external fixation

  • 1. Janaki Medical College Teaching Hospital, Janakpur , Nepal
  • 2. Xian Jiaotong University, Xian, China

Description

Nearly one-sixth of all fractures in a casualty environment are distal radius fractures. Restoring the function of the wrist joint, of which the distal radius is a crucial component, is typically the goal of treatment for distal radius fractures. There does not appear to be agreement on the best course of action for treating distal radius fractures, particularly when they are accompanied by instability of the distal radioulnar joint. In patients who initially have displaced distal radius fractures, to define the functional prognosis. 75 working-age (18 to 55 years) patients who presented with unilateral displaced distal radius fractures (apart from volar displacement) and were subsequently treated with fixation participated in observational research. At six months and a year after the surgery, the results of the patients were evaluated using the Green and O'Brien Scoring System as modified by Cooney et al. Additionally, radiographs were collected after surgery and throughout follow-up. The data were examined in terms of the percentage of patients who had satisfactory clinical and radiological results (using IBM SPSS software version 22 and Microsoft Excel). In 78.1% of the study group, acceptable functional outcomes (good and outstanding scores in the Green and O'Brien Scoring System) were seen. Although the younger age group had higher functional outcome scores, a statistically significant difference could not be found. Infection of the pin tracts complicated 9.4% of the cases, and 96.9% of the patients had acceptable radiological reductions. The difference between the outcome ratings at six months and one year following surgery showed a statistically significant improvement (p-value 0.0001). For treating displaced distal radius fractures, external fixation is a quick and efficient way to get good to excellent clinical results. Younger age groups and male patients had superior functional outcome scores, but there was no statistically significant difference between them.

Files

5(8) 150-158.pdf

Files (525.7 kB)

Name Size Download all
md5:6c3aed3218d8cb2ab3b808d923d5cb0a
525.7 kB Preview Download