Use of a Distraction Plate for Comminuted Distal Radial Fracture

Document Type : Original Article

Authors

1 Resident of Orthopedic Surgery, Al Helal Hospital, Egypt.

2 Professor of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Egypt.

3 Lecturer of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Egypt.

Abstract

Background
Distal radius fractures are the most common long bone fracture, and their incidence appears to be increasing worldwide.
Aim and the work
The purpose was to evaluate internal distraction plating for the management of comminuted, intraarticular distal radius fractures.
Patients and Methods
This prospective study involved fifteen cases with comminuted distal radius fractures treated with internal distraction plating at two levels. Patients were treated with internal distraction plating across the radiocarpal joint. At the time of the final follow-up, radiographs were evaluated for ulnar variance, radial inclination, and palmar tilt. Range of motion, complications, and DASH scores were also obtained.
Results
We treated 15 patients with distraction plating for comminuted distal radius fractures. At the final follow-up, all fractures had healed. Flexion in the study population ranged from 38 to 55, with a mean±SD= 47±5.29. Extension in the study population ranged from 41 to 62, with a mean±SD= 52.27±5.96. Pronation in the study population ranged from 68 to 99, with a mean±SD= 81.2±9.03. Supination in the study population ranged from 64 to 91, with a mean±SD= 79.73±8.83. DASH scores in the study population ranged from 28 to 39, with a mean±SD= 33±3.48.
Conclusions
The use of a distraction plate appears to provide effective fixation when used for the treatment of comminuted distal radial fractures.

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