External fixation and bone grafting for collapsed and comminuted distal radius fracture.
OBJECTIVE
To study the therapeutic effect of collapsed and comminuted distal radius fracture.


METHODS
Twenty-six patients with collapsed and comminuted distal radius fracture were hospitalized from July 1998 to June 2003. All fractures were treated by the methods of open reduction, sustained bone grafting and passing joint external fixator to restore the anatomic shape of distal radius.


RESULTS
All 26 cases were followed up, and the results showed that the fractures have been united radiographically. The joint surfaces were intact and there was no length discrepancy occurred in patient's radius. The average volar tilt was 6 to 15 degrees and the average ulnar tilt was 18 to 25 degrees. According to the Dieust criterion, 19 cases were rated as excellent and 7 as good.


CONCLUSIONS
The method that applying passing joint external fixator and bone grafting for the treatment of collapsed and comminuted distal radius fracture could maintain the stability of fracture and restore the length of radius and the intact of joint surface.
Zhang
Shuang-xi
SX
Department of Orthopaedic Surgery, People's Hospital of Renqiu, Renqiu, Hebei Province 062550, China.
Gu
Fang-rui
FR
Peng
Yong-li
YL
Zhu
Guang-ming
GM
Fu
Jiang
J
Lu
Jun-yue
JY
Wang
Jiang-tao
JT
Liu
Zhang-min
ZM
D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D015331:Cohort Studies; D003131:Combined Modality Therapy; D016267:External Fixators; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000295:instrumentation* / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment