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National Journal of Clinical Orthopaedics
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2019, Vol. 3 Issue 1, Part B
Comparison study for internal and external modes of fixation for fractures of distal end radius
Author(s): Dr. Kushal Suthar, Dr. Shailendrasinh Gohil, Dr. Harikrushn Ahir, Dr. Pratik Bhabhor and Dr. Ankit Desai
Abstract: Introduction: Fractures of the distal radius continue to be one of the most common skeletal injuries. The methods which are commonly practiced are closed manipulation and plaster cast, pins and plaster, percutaneous pinning, external fixation and open reduction and internal fixation with or without bone graft. Surgeons are increasingly faced with the dilemma of when to consider operative management and when cast immobilization is the optimal treatment. Aim: To compare the results of external and internal fixation methods for the treatment of fractures of distal end of radius. Materials and Methods: 47 cases of distal end radius fractures were operated in the orthopedic department of a tertiary care centre. The purpose of the present study was to compare the results of external and internal fixation methods for the treatment of fractures of distal end of radius. Patients operated by external fixation were classified as Group A and those operated by internal fixation were classified as group B. Patients were classified according to AO Classification. Patients were followed at regular intervals depending on the case and time of operation and evaluated by Gartland and Werley score. Results and Discussion: In our study, 29 patients were of extraarticular type, of which 86.20% had an excellent score and 18 patients were of intraarticular type, of which 83.33% had an excellent score. But when compared to groups A and B, the percentage of excellent score obtained in group B was more than that in group A in both extraarticular and intraarticular fractures. Yuan-kun et al did a study on intraarticular distal end radius fractures and evaluated the patients by Gartland and Werley point system, concluding that plating gives better results than external fixation supplemented by K wiring. Conclusion: We concluded that no method of fixation, can be said superior to the other. Each method has fracture-specific indication. The results of open reduction and internal fixation can be better than external fixation in initial months, but in the long run, both the methods can have excellent score, provided the fixation is good and properly indicated.
Pages: 62-66  |  1632 Views  79 Downloads
How to cite this article:
Dr. Kushal Suthar, Dr. Shailendrasinh Gohil, Dr. Harikrushn Ahir, Dr. Pratik Bhabhor, Dr. Ankit Desai. Comparison study for internal and external modes of fixation for fractures of distal end radius. Nat J Clin Orthop 2019;3(1):62-66 DOI: https://doi.org/10.33545/orthor.2019.v3.i1b.13
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