Non-Bridging External Fixation in Distal Radius Fractures

Abstract

Fractures of the distal radius are extremely common but treatment remains controversial. The purpose of this study was to investigate the anatomical and functional outcomes of unstable radial fractures managed with a non-bridging external fixator. Thirty-four patients were entered into the study although 7 were lost to follow-up. The criteria used to assess the outcome were range of wrist motion, radiological measurement and grip strength. Results showed that at 6 months postoperatively there was good restitution of the dorsal tilt which an average of 0.5° and with 1 mm of radial shortening. The range of wrist flexion at one year was diminished by 10 % and extension by 12 %, supination by 5 % but pronation was preserved. We conclude that non-bridging external fixation can be considered as an easy technique with good control of the reduction and early wrist motion with very few complications.

Key words

Distal radius fracture - external fixation

References

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