Nonbridging External Fixation of Intra-Articular Distal Radius Fractures

Slutsky, David J.

doi:10.1016/j.hcl.2005.02.002

Cited by 10 publications

(8 citation statements)

References 46 publications

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“…External fixation (EF) augmented with or without additional Kirschner-wires relies on ligamentotaxisto obtain and maintain fracture alignment [17]. EF has the ability to maintain the reduction until the fractures healed.…”

Section: Discussionmentioning

confidence: 99%

Comparison of outcome of VLCP versus PKEF in the treatment of AO type C2–3 distal radial fractures

Tang

Liu

Yang

2017

Annals of Medicine &Amp; Surgery

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PurposesFractures of the distal radius are extremely common in adults. However, the optimal management remains controversial, especially in AO type C2-3 (Type23 C2 or C3 of distal radial fracture, according to AO classifications). The purpose of this study was to compare the results of the volar locking compression plate (VLCP) and percutaneous Kirschner-wires combined with external fixation (PKEF) in the treatment of the AO type C2-3 fractures.MethodsFrom July 2012 to June 2015, 62 patients with AO type C2-3 fractures, treated by VLCP or PKEF, were included in this retrospective study. Patients were followed up at 3 months, 6 months after operation, and final follow up. Outcomes were assessed by radiographic features in all follow up and by DASH and Sarmiento's modification of the Gartland-Werley score at final follow up.RusultsNo significant difference was noted between these two groups in terms of volar inclination, ulnar angulation and ulnar variance. There was also no significant difference on DASH score between these two groups. However, according to the Sarmiento's modification of the Gartland-Werley scores, the scores was higher in VLCP group than the PKEF group, and ratings of excellent and good were lower in the VLCP group (P = 0.05).ConclusionsBoth techniques could get satisfactory results in the treatment of AO type C2-3 fractures, but PKEF leads to better wrist function than VLCP .

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Section: Discussionmentioning

confidence: 99%

Comparison of outcome of VLCP versus PKEF in the treatment of AO type C2–3 distal radial fractures

Tang

Liu

Yang

2017

Annals of Medicine &Amp; Surgery

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“…This technique relies on ligamentotaxis to obtain and maintain fracture alignment [6]. However, since the introduction of locking plates, open reduction and internal fixation (ORIF) has become increasingly popular in surgical reduction [7].…”

Section: Introductionmentioning

confidence: 99%

Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis

Walenkamp¹,

Bentohami²,

Beerekamp³

et al. 2013

Strategies in Trauma and Limb Reconstruction

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The aim of this study was to compare bridging external fixation with volar locked plating in patients with unstable distal radial fractures regarding functional outcome. A systematic search was performed in the Cochrane Central Register of Controlled Trials, Medline and EMBASE. All randomized controlled trials that compared bridging external fixation directly with volar locked plating in patients with distal radial fractures were considered. Three reviewers extracted data independently from eligible studies using a data collection form. Studies in which the primary endpoint was measured on the disabilities of the arm shoulder and hand (DASH) score at 3, 6 and 12 months were included in the analysis. To this end, mean scores and standard deviations were extracted. The software package Revman 5 provided by the Cochrane Collaboration was used for data analysis. Three studies involving 174 patients were analyzed. Ninety patients were treated with an (augmented) bridging external fixator and 84 with a volar locking plate. Data were analyzed with the random effects model. The robustness of the results was explored using a sensitivity analysis. Patients treated with a volar locking plate showed significantly lower DASH scores at all times. A difference of 16 (p = 0.006), six (p = 0.008) and eight points (p = 0.06) was found at 3, 6 and 12 months follow-up, respectively. Patients treated with a volar locking plate showed significantly better functional outcome throughout the entire follow-up. However, this difference was only clinically relevant during the early postoperative period (3 months).

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“…7,9,24,25 In addition, ligamentotaxis might not control or maintain PT. 26,27 Separately, over a period of time, the viscoelastic behavior of soft tissues causes spanning external fixators to lose their distractive forces, which can also lead to a loss of reduction. 26,28 Although external fixators have been used with internal fixation techniques, the inherent problems associated with external fixation have not been resolved.…”

mentioning

confidence: 99%

“…26,27 Separately, over a period of time, the viscoelastic behavior of soft tissues causes spanning external fixators to lose their distractive forces, which can also lead to a loss of reduction. 26,28 Although external fixators have been used with internal fixation techniques, the inherent problems associated with external fixation have not been resolved. 23,26,29,30 Moreover, open reduction and internal fixation (ORIF) with a dorsal or palmar plate requires surgery and soft tissue dissection, which may result in unique problems.…”

mentioning

confidence: 99%

“…26,28 Although external fixators have been used with internal fixation techniques, the inherent problems associated with external fixation have not been resolved. 23,26,29,30 Moreover, open reduction and internal fixation (ORIF) with a dorsal or palmar plate requires surgery and soft tissue dissection, which may result in unique problems. 23,[31][32][33][34][35][36] A minimally invasive technique is conceptually advantageous to open techniques for fracture care, because it eliminates or minimizes soft tissue dissection, postoperative adhesions, a cosmetically unappealing scar, and the concern of residual hardware or hardware removal.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Fractures of the Distal Radius Treated With Cross-Pin Fixation and a Nonbridging External Fixator, the CPX System: A Preliminary Report

Mirza

Jupiter

Reinhart

et al. 2009

The Journal of Hand Surgery

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Nonbridging External Fixation of Intra-Articular Distal Radius Fractures

Cited by 10 publications

References 46 publications

Comparison of outcome of VLCP versus PKEF in the treatment of AO type C2–3 distal radial fractures

Comparison of outcome of VLCP versus PKEF in the treatment of AO type C2–3 distal radial fractures

Functional outcome in patients with unstable distal radius fractures, volar locking plate versus external fixation: a meta-analysis

Fractures of the Distal Radius Treated With Cross-Pin Fixation and a Nonbridging External Fixator, the CPX System: A Preliminary Report

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