The Effect on the Wrist Function with the Distraction on External Fixator in the Severe Comminuted Distal Radius Fracture

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Journal of the Korean Society for Surgery of the Hand 1999;4(1):35-41.
Published online January 1, 1999.

Duck Yun Cho,Jae Hwa Kim,Hwan Kim

원위 요골 분쇄상 골절에서 외고정 장치에 의한 신연이 완관절 기능 회복에 미치는 영향

조덕연,김재화,김환

Abstract

The outcome after treatment with external fixators for severe comminuted distal radial fractures has been previously reported but the correlation between the outcome and the amount or duration of distraction was not defined. We studied two groups of patients treated with external fixators for severe comminuted distal radial fractures. Group I consisted of 22 patients who had maintained the distraction until the removal of external fixators, and group II consisted of 10 patients who had been relieved of the distraction at postoperative 2 weeks. The carpal height index was used to quantify the distraction. The outcomes in the two groups were compared by both subjective and objective evaluations in all the patients of the two groups. Prolonged excessive distraction often led to poor outcome due to pain, limited range of motion and other complications, but relief of distraction gave well-controlled results.

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