title: Success Rate and Complications of Comminuted Intra-Articular Distal Radius Fracture Treatment via Closed Reduction and Use of a Mini-External Fixator.
abstract: BACKGROUND
  Intra-articular fracture of the distal radius is extremely common; however, the management of this fracture is controversial.
  
  
  OBJECTIVE
  With regard to the importance of intra-articular fracture of the distal radius and the best treatment method for the fracture, we sought to assess the success rate following the treatment of comminuted intra-articular fractures of the distal radius via closed reduction and use of a mini-external fixator.
  
  
  METHODS
  This longitudinal retrospective study was undertaken at our department of orthopedics via assessment of radiographs and patient files of those referred from 2006 to 2013. Radiographic criteria included the degree of angulation and shortening of the radius. Data were analyzed using SPSS 18 software and were presented as mean ± standard deviation (SD). The significance level was set at P ≤ 0.05.
  
  
  RESULTS
  Overall, ≥ 2 mm shortening of the radius was seen in 28% of the patients, 53% had 2 - 5 mm radial shortening and 19% of the patients had more than 5 mm shortening of the radius. Most of the participants had acceptable outcomes. The mean angulation was 6.28 ± 2.85 degrees and the mean shortening was 3.92 ± 2.22. Thirty-nine percent of the patients had an angulation of less than 5 mm, 56% and 5% had an angulation of 5 - 10 mm and more than 10 mm, respectively.
  
  
  CONCLUSIONS
  The results of our study showed that the mini-external fixator is a good and effective treatment option for obtaining radial length, angulation and bony union in intra-articular fractures of the distal radius.
authors.affiliation: Department of Orthopedics,orthopedic research center, Mazandaran University of Medical Sciences, Sari, IR Iran.
authors.forename: Mohammad Hossein
authors.initials: MH
authors.lastname: Karimi Nasab
authors.affiliation: Department of Orthopedics,orthopedic research center, Mazandaran University of Medical Sciences, Sari, IR Iran.
authors.forename: Masoud
authors.initials: M
authors.lastname: Shayesteh Azar
authors.affiliation: Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, IR Iran.
authors.forename: Samira
authors.initials: S
authors.lastname: Fazel Moghaddam
authors.affiliation: Nephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Taghipour
keywords: Closed reduction; Comminuted; Distal Radius; Mini-External Fixator
references.citation: J Bone Joint Surg Br. 2006 Dec;88(12 ):1610-2
references.pmid: 17159173
references.citation: J Bone Joint Surg Br. 2005 Jun;87(6):837-40
references.pmid: 15911669
references.citation: Orthop Clin North Am. 1993 Apr;24(2):239-53
references.pmid: 8479722
references.citation: Acta Orthop. 2009 Aug;80(4):478-85
references.pmid: 19857180
references.citation: Acta Orthop. 2006 Jun;77(3):445-53
references.pmid: 16819684
references.citation: Clin Orthop Relat Res. 2006 Oct;451:218-22
references.pmid: 16770281
references.citation: Acta Orthop Belg. 2003;69(1):23-8
references.pmid: 12666287
references.citation: J Bone Joint Surg Br. 1987 Mar;69(2):207-11
references.pmid: 3818750
references.citation: Arch Orthop Trauma Surg. 2005 Jul;125(6):399-404
references.pmid: 15891921
references.citation: Can J Surg. 2004 Dec;47(6):426-30
references.pmid: 15646441
references.citation: J Hand Surg Br. 2002 Apr;27(2):139-45
references.pmid: 12027487
references.citation: Clin Orthop Relat Res. 2006 Apr;445:5-7
references.pmid: 16601406
references.citation: Arthroscopy. 2000 Nov;16(8):830-5
references.pmid: 11078539
references.citation: J Hand Surg Am. 1993 May;18(3):492-8
references.pmid: 8515022
references.citation: J Hand Surg Br. 2003 Oct;28(5):417-21
references.pmid: 12954249
references.citation: J Hand Surg Am. 2006 May-Jun;31(5):766-70
references.pmid: 16713840
references.citation: J Bone Joint Surg Br. 1991 Mar;73(2):302-6
references.pmid: 2005161
references.citation: Instr Course Lect. 1993;42:73-88
references.pmid: 8463706
references.citation: J Orthop Trauma. 2007 May;21(5):316-22
references.pmid: 17485996