38-213
La fijación externa en el tratamiento de las fracturas de extremidad distal de radio. Revisión de 83 casos
The external fixation in the treatment of the distal radius fractures. Revision of 83 cases
R. ARNAU, L. VILLAR, R. LÓPEZ, J. FERNÁNDEZ-GALLART, F. GOMAR SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL CLÍNICO UNIVERSITARIO VALENCIA. DEPARTAMENTO DE CIRUGÍA. UNIVERSIDAD DE VALENCIA
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
Métricas
65
Visualizaciones
Compartir
Compartir
Resumen (ES)
Retrospective study on 83 cases of distal radius
fractures in treatment with external fixation, exclusively or
asociated with other treatment methods, with an average
follow-up of 15 months. Indications have been revised and
results have been valued through the medical record of clinical
evaluation proposed by Gartland and Werley, modified by
Sarmiento, and the radiological evaluation according to
Linström´s criterions, amplified by Van Der Linden and
Ericson. Excellent results have been obtained in 9 cases,
good ones in 44 cases, not bad ones in 24 cases, bad ones in
6 cases. The most frequent complication found was the carpus
wide osteopeny (50%) and the most common cause of
residual discapacity, the distal radioulnar joint. We conclude,
from the results, that the external fixation is a correct method
for the treatment of distal radius fractures, although other
added techniques are necessary, in some cases, in order to
achieve an acceptable articular congruity and minimize the
number of unacceptable results.
fractures in treatment with external fixation, exclusively or
asociated with other treatment methods, with an average
follow-up of 15 months. Indications have been revised and
results have been valued through the medical record of clinical
evaluation proposed by Gartland and Werley, modified by
Sarmiento, and the radiological evaluation according to
Linström´s criterions, amplified by Van Der Linden and
Ericson. Excellent results have been obtained in 9 cases,
good ones in 44 cases, not bad ones in 24 cases, bad ones in
6 cases. The most frequent complication found was the carpus
wide osteopeny (50%) and the most common cause of
residual discapacity, the distal radioulnar joint. We conclude,
from the results, that the external fixation is a correct method
for the treatment of distal radius fractures, although other
added techniques are necessary, in some cases, in order to
achieve an acceptable articular congruity and minimize the
number of unacceptable results.
Palabras clave (ES):
Fijación
externa
Tratamiento
Intraarticular
Fijador
externo
Compleja
Radio
Distal
Muñeca
Fractura
Resumen (EN)
Retrospective study on 83 cases of distal radius
fractures in treatment with external fixation, exclusively or
asociated with other treatment methods, with an average
follow-up of 15 months. Indications have been revised and
results have been valued through the medical record of clinical
evaluation proposed by Gartland and Werley, modified by
Sarmiento, and the radiological evaluation according to
Linström´s criterions, amplified by Van Der Linden and
Ericson. Excellent results have been obtained in 9 cases,
good ones in 44 cases, not bad ones in 24 cases, bad ones in
6 cases. The most frequent complication found was the carpus
wide osteopeny (50%) and the most common cause of
residual discapacity, the distal radioulnar joint. We conclude,
from the results, that the external fixation is a correct method
for the treatment of distal radius fractures, although other
added techniques are necessary, in some cases, in order to
achieve an acceptable articular congruity and minimize the
number of unacceptable results.
fractures in treatment with external fixation, exclusively or
asociated with other treatment methods, with an average
follow-up of 15 months. Indications have been revised and
results have been valued through the medical record of clinical
evaluation proposed by Gartland and Werley, modified by
Sarmiento, and the radiological evaluation according to
Linström´s criterions, amplified by Van Der Linden and
Ericson. Excellent results have been obtained in 9 cases,
good ones in 44 cases, not bad ones in 24 cases, bad ones in
6 cases. The most frequent complication found was the carpus
wide osteopeny (50%) and the most common cause of
residual discapacity, the distal radioulnar joint. We conclude,
from the results, that the external fixation is a correct method
for the treatment of distal radius fractures, although other
added techniques are necessary, in some cases, in order to
achieve an acceptable articular congruity and minimize the
number of unacceptable results.
Explorar
Artículos
Volúmenes
Sobre la revista