The Operative Treatment of Distal Radius Intra-articular Fracture

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Journal of the Korean Society for Surgery of the Hand 2005;10(1):32-38.
Published online March 1, 2005.

Young-Soo Jang, Hyun-Soo Park, Hyun-Bae Jin, Kyung-hoon Kim

원위 요골 관절 내 골절에서의 수술적 치료

장영수, 박현수, 진현배, 김경훈

Abstract

lts of intraarticular fractures of distal radius. Three types of treatment were selected to the patient, which are closed reduction and percutaneous pinning, open reduction and internal fixation with plate or pins, open reduction and internal and external fixation. We performed a retrospective study in 23 patients who took operation for distal radius fracture from Nov. 1998 to Dec. 2003 and were able to be follow up for at least a year. They were divided into 6 groups by means of fracture type of AO classification which are B1, B2, B3, C1, C2, C3. They were 2, 2, 4, 4, 7 and 4 cases each. Results were evaluated by 3 categories, which are criteria for anatomical results of Sarmiento, modified clinical scoring system of Green & O'Brien and combined functional and anatomical results of New York Orthopaedic Hospital wrist rating scale. Results by using modified clinical scoring system were excellent; 0 case, good; 9 cases, fair; 9 cases, poor; 5 cases. Results by using criteria for anatomical results were excellent; 6 cases, good; 13 cases, fair; 4 cases, poor; 0 case. In wrist rating scales of New York Orthopaedic Hospital were excellent; 0 case, good; 11 cases, fair; 10 cases, poor; 2 cases. Radial length was increased from 4.4mm to 8.3mm and radial inclination was increased from 12.5°to 16.7°and volar tilt was increased from -1.5°to 7.5°. The clinical results were significantly related to the clinical results of Green & O’Brien. There is no significant relationship between AO classification and criteria for anatomical results of Sarmiento, modified clinical scoring system of Green & O’Brien and combined functional and anatomical results of New York Orthopaedic Hospital wrist rating scale clinical and anatomical results.

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