Abstract: Distal radius fractures are the most frequent fractures occurring in the upper extremity. There is always controversy as to which treatment is to be preferred for distal radius intra articular fractures, internal fixation or external fixation. We conducted a prospective hospital-based clinical study on the management of distal radius fractures with external fixation.
Aim: To assess anatomical and functional outcome and to asses the effectiveness of external fixation in the intra-articular distal end of radius fractures.
Materials and methods: This prospective study comprised 20 patients treated with external fixation. The patients were followed up at six weeks, three months, 6 months and one year after surgery. The assessment of pain, range of motion, grip strength and activity were assessed and scored according to Gartland and Werley scoring systems. Radiographic measurements were also evaluated.
Results: Gartland and wereley scoring were used to evaluate the overall functional results. Excellent to good results were in 85% of patients, and fair to poor results were seen in 15% of patients. Two patients developed pin site infections.
Conclusion: External fixation used for ligamentotaxis is an effective method of treating intra articular distal radius fractures. External fixation as a method in the management of distal radius fracture is an effective method when performed with strict surgical guidelines, under aseptic precautions, and proper reduction of fracture with minimal complication rates and good functional outcome based on Gartland and Werley scoring. The procedure is quick, and the technical learning curve is shorter. Complications like pin site infections can be managed with appropriate antibiotics.
