[Complex distal radius fracture: value of spongiosa-plasty in combination with external fixator treatment].
22 Patients with complex fracture of the distal radius (Fernandez III/Frykman VII-VIII/AO 23.C) underwent treatment with external fixation and auxiliary autologous bone grafting in purpose to reconstruct and stabilize the radiocarpal articular surface, reset the radius length, obtain a quicker bone healing and avoid secondary radius shortening after removing of the external fixation. In spite of reassessment of radius length in 80% and reconstruction of the radiocarpal articular surface in 75%, late control showed the development of radiological signs of radiocarpal arthritis. 50% of the patients have a moderate loss of strength and motility in the wrist; this seems to be a good result for a very negative selection of complex fractures of distal radius. We recommend autologous bone grafting in treatment of complex fractures of the distal radius with external fixation.
Fasolini
F
F
Chirurgische Klinik, Kantonsspital Aarau.
Lichtenhahn
P
P
Fernandez
D L
DL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016025:Bone Transplantation; D016267:External Fixators; D005260:Female; D005500:Follow-Up Studies; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014954:Wrist Injuries / Q000000981:diagnostic imaging / Q000601:surgery*
Komplexe distale Radiusfraktur: Nutzen der Spongiosaplastik in Kombination mit der Fixateur-externe-Behandlung.