Wrist instabilities following distal radius fractures: influence of the treatment by external fixation

被引：0

作者：

Battiston, B ^{[1
]}

Pasquali, M ^{[1
]}

Pontini, I ^{[1
]}

Regis, G ^{[1
]}

Fassola, I ^{[1
]}

机构：

[1] CTO Hosp, Dept Orthopaed 3, Turin, Italy

来源：

7TH CONGRESS OF THE INTERNATIONAL FEDERATION OF SOCIETIES FOR SURGERY OF THE HAND (IFSSH) | 1998年

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D O I：

暂无

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：

The association of acute carpal ligament lesions with fractures of the distal radius has been well documented by several Authors: 45% (Rotb1995),-68% (Geissler,1995). A substantial number of incomplete ligament tears heals in the period of immobilisation leading to an inferior number of chronic lesions with instability (10% to 25%). Some Authors (Fernandez et al.) suggest that use of closed ligamentotaxis with wrist fixators enhances the distal shift of the scaphoid in complete scapho-lunate ligament disruptions and results a greater number of final instabilities at the time of fixator removal. We analysed this hypothesis by reviewing 76 Frykman 7+8 fractures of the distal radius, operated on by means of Pennig external fixators. 44 patients were examinated clinically and radiographically (Gartland-Werley modified evaluation system) to detect residual instabilities. We found 40% of static or dynamic wrist instabilities. Wrist external fixators may treat correctly severe radius fractures even when associated with ligamentous injuries, provided that they are not used in overdistraction.

引用

页码：105 / 109

页数：3