title: Augmented external fixation of unstable distal radius fractures.
abstract: The technique of "augmentation" of external fixation employs the use of percutaneous Kirschner wires to secure the radial styloid fragment as a lateral buttress, elevate and fix in place the depressed lunate fossa fragment, and, when necessary, add support to the elevated articular surface by means of subarticular bone grafting. A series of 51 cases of comminuted, unstable intraarticular distal radius fractures has been managed using this technique. Detailed evaluation has demonstrated precise articular reconstitution with an overall satisfactory result rate of 92%.
authors.affiliation: Department of Orthopaedic Surgery, Mt. Sinai Medical Center, Cleveland, OH 44106.
authors.forename: W H
authors.initials: WH
authors.lastname: Seitz
authors.forename: A I
authors.initials: AI
authors.lastname: Froimson
authors.forename: R
authors.initials: R
authors.lastname: Leb
authors.forename: J D
authors.initials: JD
authors.lastname: Shapiro
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000601:surgery; D016267:External Fixators; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D011884:Radius / Q000000981:diagnostic imaging; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*