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212841

Treatment of Comminuted Distal Radius Fractures Using Spanning External Fixator

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Last updated: 24 Dec 2024

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Abstract

Background: Distal radius fractures are common orthopedic injuries with a bimodal age distribution, affecting young patients following high-energy trauma and elderly patients with osteoporotic bone following low-energy falls. Objectives: The aim of the study was to understand the advantages and disadvantages of spanning external fixation technique for treatment of comminuted distal radius fractures. Patients and methods: This Prospective Cohort study was conducted in Orthopedic Surgery Department, Zagazig University Hospitals, Egypt on twenty-four patients with comminuted distal radius fractures treated by spanning External Fixator, during the period from January 2021 to December 2021. Result: All patients achieved the full union; only 2 patients had delayed union beyond the 3 months. According to MMWS, 50% of patients had excellent outcome, 29.2% had good, while fair and poor outcome occurred in 12.5% & 8.3% respectively. Regarding the Complications, ten patients developed complications, most of them were minor complications, while 2 patients developed Delayed union and one patient had DRUJ instability. Conclusion: It could be concluded that spanning external fixation is a good option for treatment of intra-articular DRF. The good outcomes achieved in this study suggest that use of the Spanning external fixators could be an alternative treatment method for intra articular distal radius fractures, as it is easier, need less operation time, decrease amount of blood loss and decrease risk of infection in comparison with spanning bridging plate or locked distal radius plates. All DRFs achieved good results; Functional outcomes were promising, including wide wrist ROM and no mal or non-union occurred.  

DOI

10.21608/ejhm.2022.212841

Keywords

Distal Radius, intra-articular, External fixator

Authors

First Name

Abdelsalam Eid

Last Name

Abdelsala

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Orcid

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First Name

Osam Mohammed

Last Name

Metwally

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Salah Mahmoud

Last Name

Abd El Kader

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Emad Mohammed Ali

Last Name

Alfirjani

MiddleName

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Affiliation

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Email

a981988157716@gmail.com

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Orcid

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Volume

86

Article Issue

1

Related Issue

29518

Issue Date

2022-01-01

Receive Date

2022-01-05

Publish Date

2022-01-01

Page Start

372

Page End

378

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_212841.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=212841

Order

59

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Treatment of Comminuted Distal Radius Fractures Using Spanning External Fixator

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Article

Created At

22 Jan 2023