Treatment of Fractures of Distal End of Radius Using Ligamentotaxis: A Case Series
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Introduction: Intra/juxta-articular fractures of distal radius are still challenging problem despite the varieties of modalities of treatment options. We report the result of a prospective study of three hundred fifty patients, who were treated by close reduction and simple single bar Uniplaner external fixator. Methodology: In a prospective controlled study, 350 cases of distal end radius fractures with / without intra-articular extension were treated with uniplanar static type of external fixation using the principle of ligamentotaxis and augmentation by K-wires. The age group of the patients is 18 to 70 years, external fixator was applied for duration of 6 to 8 weeks and cases were followed up for an average of 6 to 10 months post operatively. Results: Assessed as per Demerit point system of Gartland and Werley (modified by Sarmiento 1975) for functional results and criteria for anatomical results by Sarmiento (1975) at the end of 6-8 months of follow up. Excellent anatomical result was seen in around 37 % patients, good results seen in 46 % patients, fair results are seen in around 15 % patients with poor results in around 2 % patients. Conclusion: Thus we conclude that ligamentotaxis is an excellent method for the management of comminuted intra/juxta articular fractures. It not only obviates the need of ORIF and/or POP cast but also gives better functional results. It is very useful in compound comminuted fractures around joints where other methods are contraindicated.
Authors and Affiliations
S. Tontanahal, T. D. Bhattacharyya, R. Ailani, A. Gaikwad
Keywords
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- EP ID EP592691
- DOI 10.9790/0853-1603028995
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