A prospective study of management of fracture distal radius by external fixator using the principle of ligamentotaxis was conducted from July 2016 to August 2017 at our institute to evaluate the clinical efficacy of external fixator with ligamentotaxis in distal radius fracture reduction, fracture healing, functional recovery after surgery.
Material and Methods: 30 cases of fracture distal radius were treated with ligamentotaxis. Inclusion criterias were 1) skeletally mature patients having age more than 18 years 2) closed/unstable fractures. 3) Frykman type 1 to 8 fractures. 4) Fractures with history of trauma <2 weeks. 5) Patients with 6 months follow up. 6) Medically fit patients. Fracture was anantomically reduced and fixed with external fixator with principle of ligamentotaxis. Patients were evaluated based on Modified Demerit point system of Gartland and Werley.
Results: With external fixation and ligamentotaxis, the result in majority of cases was excellent to good. Hence this study conclude that external fixator with ligamentotaxis is a good method of treatment in fracture lower end of radius.