title: [External fixator or bone pin osteosyntheses in unstable distal intra-articular radius fractures in elderly patients].
abstract: Hyperdistraction with external fixation in the treatment of distal intraarticular fractures (Frykman types VII/VIII) in elderly patients results in a higher risk of secondary shortening and loss of the radius length with functional impairment. Using the modified K-wire technique of Kapandjii, a more sufficient restoration of articular congruency can be achieved. The overall score showed 87.5% excellent and good results in the Kapandjii group, compared to 76.5% in the external-fixation group.
authors.affiliation: Abteilung für Unfall- und Wiederherstellungschirurgie, Kreiskrankenhaus, Akademisches Lehrkrankenhaus, TU München, Garmisch-Partenkirchen.
authors.forename: K
authors.initials: K
authors.lastname: Neumann
authors.forename: M
authors.initials: M
authors.lastname: Clarius
authors.forename: P
authors.initials: P
authors.lastname: Gutsfeld
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001864:Bone Wires; D016267:External Fixators; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011885:Radius Fractures / Q000145:classification / Q000503:physiopathology / Q000601:surgery*; D014954:Wrist Injuries / Q000145:classification / Q000503:physiopathology / Q000601:surgery*
vernacular_title: Fixateur extern oder Spickdrahtosteosynthesen bei instabilen distalen intraartikulären Radiusfrakturen älterer Patienten.