Treatment of Intraarticular Fractures of the Distal Radius with Plate Fixation

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Journal of the Korean Society for Surgery of the Hand 2001;6(1):14-20.
Published online January 1, 2001.

Sang Un Lee, Il Hyun Nam, Sang Su Lee, Dong Hee Lee, Dong Hyuck Woo

요골 원위부 관절내 골절의 금속판 고정술을 이용한 수술적 치료

이상언, 남일현, 이상수, 이동희, 우동혁

Abstract

Purpose
: To review the clinical and radiographic result after open reduction and plate fixation for distal radius intraarticular fracture. Materials and Methods : A clinical analysis was performed on 19 cases of distal radius intraarticular fractures which had been treated with plate and screws by the voloradial operative approach between March 1992 and June 1998. The mean length of follow-up was 36.7 months and the fractures were classified with the AO system on the basis of the findings on radiograph and on computed tomography. Results : At the most recent follow-up evaluation the clinical results were as follows; 9(47.4%) excellent, 7(36.8%) good and 3(15.8%) fair according to Demerit scoring system. The radial fracture healed at a mean of 8 weeks. The rate of complication was 21%, median nerve neuropathy in 2 patients ; 2 had finger and wrist motion limitation. Conclusion : Despite the complex nature of these 19 injuries, by the accurate manipulation, by the stable internal fixation, by the restoration of articular surface and by the early wrist motion, the result at the most recent evaluation suggest that open reduction and internal fixation is effective treatment for preventing degenerative osteoarthrosis in displaced unstable, intraarticular fracture of the distal aspect of the radius.

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