Long-term results of the external fixation of distal radius fractures.
OBJECTIVE
To evaluate the long-term results of external fixation of distal radius fractures.


METHODS
A retrospective follow-up study (median follow-up, 5.3 years) of 49 patients with 50 distal radius fractures treated with an external fixator was carried out. An external fixator (Minifixator, Stratec Medical, Waldenburg, Switzerland) was used. The operative procedure is described in detail. A personal evaluation including clinical and radiologic assessment of both wrists was performed.


RESULTS
The functional results, including the parameters strength, daily activities, range of motion, and presence of pain, as well as an anatomic score, the presence of osteoarthritis, the quality of reduction, and complications were recorded. Functional and anatomic results indicated excellent to good ratings in more than 80% of the cases.


CONCLUSIONS
The external fixator is a versatile tool in the treatment of intra-articular and extra-articular fractures of the distal radius. The rate of algodystrophy (reflex sympathetic dystrophy) was 6%, and wrist stiffness was not found in our series.
Rikli
D A
DA
Department of Surgery, University Hospital of Basel, Switzerland.
Küpfer
K
K
Bodoky
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016267:External Fixators; D005260:Female; D005592:Fracture Fixation / Q000379:methods*; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D011859:Radiography; D011885:Radius Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery*; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome