External fixation versus percutaneous pinning for unstable Colles' fracture - Equal outcome in a randomized study of 60 patients

被引:22
作者
Ludvigsen, TC
Johansen, S
Svenningsen, S
Saetermo, R
机构
[1] VEST AGDER CENT HOSP,DEPT SURG,KRISTIANSAND,NORWAY
[2] AUST AGDER CENT HOSP,DEPT SURG,ARENDAL,NORWAY
来源
ACTA ORTHOPAEDICA SCANDINAVICA | 1997年 / 68卷 / 03期
关键词
D O I
10.3109/17453679708996696
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
60 patients > 20 years of age, with comminuted distal radial fractures of type Older 3 or 4, were randomly allocated to two treatment groups: external fixation a.m. Hoffmann or percutaneous Kirschner wire pinning combined with immobilization in a plaster cast. The groups were similar in age, gender, fracture type and dislocation. All patients were immobilized for 6 weeks and the outcome was assessed after 6 months. The groups showed similar results with respect to radiographic parameters and function. All fractures healed and no difference in complication rate was observed. We conclude that most unstable distal radial fractures, classified as Older's type 3 and 4, can be treated with percutaneous pinning and a plaster cast, which is simpler and cheaper than external fixation.
引用
收藏
页码:255 / 258
页数:4
相关论文
共 23 条
[1]
PREDICTION OF INSTABILITY OF COLLES FRACTURES [J].
ABBASZADEGAN, H ;
JONSSON, U ;
VONSIVERS, K .
ACTA ORTHOPAEDICA SCANDINAVICA, 1989, 60 (06) :646-650
[2]
[Anonymous], 1995, FRACTURES DISTAL RAD
[3]
DYNAMIC EXTERNAL FIXATION FOR COMMINUTED INTRAARTICULAR FRACTURES OF THE DISTAL END OF THE RADIUS [J].
CLYBURN, TA .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1987, 69A (02) :248-254
[4]
MANAGEMENT OF COLLES FRACTURES [J].
COONEY, WP .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1989, 14B (02) :137-139
[5]
TREATMENT OF DISPLACED ARTICULAR FRACTURES OF THE RADIUS [J].
FERNANDEZ, DL ;
GEISSLER, WB .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1991, 16A (03) :375-384
[6]
Fernandez DL, 1996, FRACTURES DISTAL RAD
[7]
PINS AND PLASTER TREATMENT OF COMMINUTED FRACTURES OF DISTAL END OF RADIUS [J].
GREEN, DP .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1975, A 57 (03) :304-310
[8]
UNSTABLE DISTAL RADIUS FRACTURES TREATED BY MODIFIED KIRSCHNER WIRE PINNING - ANATOMIC CONSIDERATIONS, TECHNIQUE, AND RESULTS [J].
HABERNEK, H ;
WEINSTABL, R ;
FIALKA, C ;
SCHMID, L .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1994, 36 (01) :83-88
[9]
HOVE LM, 1994, THESIS U BERGEN NORW
[10]
EXTERNAL FIXATION OF COLLES FRACTURE [J].
KAUKONEN, JP ;
KARAHARJU, E ;
LUTHJE, P ;
PORRAS, M .
ACTA ORTHOPAEDICA SCANDINAVICA, 1989, 60 (01) :54-56