title: [The influence of the traction on the wrist in the course of healing of the radius distal part comminuted fractures].
abstract: Traction and external fixation are the methods of choice by treating the comminuted fractures of the distal part of the radius. Bringing in two screws into the second metacarpal bone and the radius proximity from the fracture makes possible the traction and fixate the fractured bone splinters. The reposition of the comminuted fractures needs a very strong traction and provides to expand the ligaments and the wrist articular capsula. The aim of our study is to explain the mechanical influence of the external stabilization on the wrist and the wrist function after the immobilisation with the distraction. In 15 patients the examination was performed. The wrist was estimated on the base of clinical examination and rentgenography. Those examinations were performed within the moment of reduction of the dislocation, than 6 weeks and after next 6 weeks. All results are illustrated on graphics and x-ray pictures. The results of our study prove the profitable influence of the traction on the healing of the damaged articular surface in good clinical and functional position. Even a strong traction has in comparison to the control group (healing conservatively or by using various methods of the internal fixation) no influence on the wrist function.
authors.affiliation: Katedra i Klinika Ortopedii i Traumatologii, Pomorska Akademia Medyczna w Szczecinie.
authors.forename: D
authors.initials: D
authors.lastname: Larysz
authors.forename: A
authors.initials: A
authors.lastname: Gusta
authors.forename: S
authors.initials: S
authors.lastname: Raczek
authors.forename: R
authors.initials: R
authors.lastname: Przybylski
mesh_terms: D000328:Adult; D000368:Aged; D016267:External Fixators; D005260:Female; D005592:Fracture Fixation / Q000379:methods*; D017102:Fracture Healing; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D008663:Metacarpus / Q000000981:diagnostic imaging; D008875:Middle Aged; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D014143:Traction / Q000379:methods*
vernacular_title: Znaczenie i wpływ sił rozciagajacych na nadgarstek w leczeniu przezstawowych i wieloodłamowych złamań dalszej cześci kości promieniowej dystraktorem zewnetrznym.