Background: Intra-articular fractures are inherently unstable, difficult to reduce anatomically and to immobilize in closed plaster of Paris (POP) support and are associated with high rate of complications. External fixation is generally accepted as superior to plaster immobilization in young patients with intra-articular comminuted displaced distal radius fracture.
Aim of the study: To evaluate the radiological and functional outcome of intra-articular distal radius fractures treated by external fixator using ligamentotaxis.
Subjects and methods: A prospective analysis of 12 patients with Intra-articular distal radius fracture . The right side was affected in 5 patient and left ib 7 patients , all of patient treated by external fixator. The patients were assed clinically by Sarmiento modification of gartland and werely score post-operatively.
Results: Functional evaluation was performed according to the criteria described by Sarmiento modification of Gartland and Werley. Results were excellent in 6 (50%), good in 4 (33.3%), and fair in 3 (16.7%) patients. No patient had poor result.
Conclusion: External fixator yields excellent radiological and functional results in majority of intra-articular distal radius fractures. And it is a stable fixation which permits movements of fingers, elbow and shoulder and is safe & simple procedure acceptable by the patient. We therefore recommend it as a treatment of choice for patients with intra-articular distal radius fractures.