[Surgical treatment of fractures of the distal radius--a closed therapy concept. Initial results with the bowl osteosynthesis].
We present our treatment strategy for distal radius fractures, based on intrafocal pinning (Kapandji) and further combination with a palmar plate resulting in bowl osteosynthesis (Nonnenmacher). Even with a changing surgical team, we got more than 80% good results and rapid revalidation. We thus favor dynamic minimal osteosynthesis close to the fracture physiopathology. Indication for external fixation becomes limited to open or comminutive fractures.
Bahm
J
J
Zentrum für Unfallchirurgie und Orthopädie der CRAMAM, Illkirch-Graffenstaden Strassburg.
Faye
N
N
Nonnenmacher
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D001864:Bone Wires; D002648:Child; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology; D014954:Wrist Injuries / Q000000981:diagnostic imaging / Q000601:surgery*
Die operative Behandlung distaler Radiusfrakturen--ein geschlossenes Therapiekonzept. Erste Ergebnisse mit der Kelchosteosynthese.