PINS AND PLASTER VS EXTERNAL FIXATION IN THE TREATMENT OF UNSTABLE DISTAL RADIAL FRACTURES - A RANDOMIZED PROSPECTIVE-STUDY

被引：33

作者：

HUTCHINSON, DT

STRENZ, GO

CAUTILLI, RA

机构：

[1] Division of Orthopaedic Surgery, University of Utah Medical Centre, Salt Lake City, UT

[2] the Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1995年 / 20B卷 / 03期

关键词：

D O I：

10.1016/S0266-7681(05)80095-6

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：

90 unstable fractures of the distal radius were studied in a randomized, prospective manner. Followup consisted of patient questionnaire, medical record review, therapist evaluation and radiography at 4 months, 1 year and 2 years post-operatively. Overall results were good or excellent in 94%. No significant differences were found between treatment groups (external fixation and pins and plaster) in final results, range of motion, intrinsic tightness, grip strength, or the presence of arthritis. The complication rate was high for both groups (45%), and half of the complications were major. External fixation maintained radial length more effectively (significantly in those patients followed for 2 years) but was associated with higher initial costs (20 times) and a greater number of minor complications.

引用

页码：365 / 372

页数：8

共 29 条

[1]

Axelrod, McMurtry, Open reduction and internal fixation of comminuted, intra-articular fractures of the distal radius, Journal of Hand Surgery, 15 A, 1, pp. 1-11, (1990)

[2]

Bradway, Amadio, Cooney, Open reduction and internal fixation of displaced, comminuted intra-articular fractures of the distal end of the radius, Journal of Bone and Joint Surgery, 71 A, 6, pp. 839-847, (1989)

[3]

Carrozzella, Stern, Treatment of comminuted distal radius fractures with pins and plaster, Hand Clinics, 4, 3, pp. 391-397, (1988)

[4]

Chapman, Bennett, Bryan, Tullos, Complications of distal radius fractures: Pins and plaster treatment, Journal of Hand Surgery, 7, 5, pp. 509-512, (1982)

[5]

Clyburn, Dynamic external fixation for comminuted intra-articular fractures of the distal end of the radius, Journal of Bone and Joint Surgery, 69 A, 2, pp. 248-254, (1987)

[6]

Cole, Obletz, Comminuted fractures of the distal end of the radius treated by skeletal fixation in plaster cast, Journal of Bone and Joint Surgery, 48 A, 5, pp. 931-945, (1966)

[7]

Cooney, External fixation of distal radial fractures, Clinical Orthopedics and Related Research, 180, pp. 44-49, (1983)

[8]

Cooney, Linscheid, Dobyns, External pin fixation for unstable Colles' fractures, J Bone Joint Surg Am, 61 A, 6, pp. 840-845, (1979)

[9]

Dowling, Sawyer, Comminuted Colles' fractures, J Bone Joint Surg Am, 43 A, 5, pp. 657-668, (1961)

[10]

Fernandez, Jakob, Buchler, External fixation of the wrist, Annales Chirurgiae et Gynaecologie, 72, pp. 298-302, (1983)

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