Comparative analysis of treatment technique in patients with distal radius fractures

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Abstract

The purpose of the study was to compare long-term results of surgical treatment of patients with fractures of the distal the radius with use of external fixation and angle stable plates, to make reasonable selection of optimal method of surgery for fractures of this localization. Material and methods. Surgical treatment completed 81 patients (34 men and 47 women) with 81 fractures of the distal radius: 49 patients were operated using angle stable plates (group I), 32 - external fixation (group II). The results of the treatment was assessed using clinical, radiological indicators, DASH questionnaire. Results. One year after surgery in group I we received 81,6% excellent and 18.4% good treatment outcomes, in group II - 71,8% excellent, 15.6% good and 12.5% fair results. Conclusion. Extra-articular fractures of type A are applicable all kinds of operations. However, closed reduction and external fixation has a number of advantages over plate fixation. Type B fractures virtually eliminate the use of external fixation because of the difficulty to achieve precision (anatomic) reduction the fragments. Intra-articular comminuted fractures (type C) require precise reduction with the restoration of the integrity of the articular facet and stable fixation of the whole period of callus formation for early movement in the joint. The results of the study showed that the volar angle stable plates provide these conditions.

About the authors

V. V. Khominets

Kirov Medical Military Academy

Author for correspondence.
Email: noemail@neicon.ru
Russian Federation

M. V. Tkachenko

Kirov Medical Military Academy

Email: tkachenko_med@mail.ru
Russian Federation

V. V. Syrtsov

Kirov Medical Military Academy

Email: noemail@neicon.ru
Russian Federation

V. S. Ivanov

Kirov Medical Military Academy

Email: noemail@neicon.ru
Russian Federation

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