A Prospective Observational Clinical and Radiological Study of a Modular Bridging External Fixator for Unstable Distal Radius Fractures

INTRODUCTION: Distal Radius Fractures (DRFs), with a reported annual incidence of 600,000, are common injuries treated by trauma surgeons. This prospective observational study aims to assess the efficacy of a modular external fixation system in the treatment of unstable distal radius fractures at 12...

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Main Authors: Maccagnano G, Noia G, Vicenti G, Coviello M, Pesce V, Moretti B
Format: Article
Language:English
Published: Malaysian Orthopaedic Association 2021-11-01
Series:Malaysian Orthopaedic Journal
Subjects:
Online Access:http://morthoj.org/2021/v15n3/modular-external-fixator.pdf
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author Maccagnano G
Noia G
Vicenti G
Coviello M
Pesce V
Moretti B
author_facet Maccagnano G
Noia G
Vicenti G
Coviello M
Pesce V
Moretti B
author_sort Maccagnano G
collection DOAJ
description INTRODUCTION: Distal Radius Fractures (DRFs), with a reported annual incidence of 600,000, are common injuries treated by trauma surgeons. This prospective observational study aims to assess the efficacy of a modular external fixation system in the treatment of unstable distal radius fractures at 12-months follow-up. MATERIALS AND METHODS: Between December 2014 and December 2016, 35 patients (female: 21, male:14; mean age: 62.5), with unstable DRFs, treated with modular external fixation system, were selected for this prospective observational study. All the patients underwent clinical and radiological reviews at follow-up. RESULTS: At 12-month follow-up, a mean DASH score of 15.73 and a mean PRWE score 20.10 were recorded. Mean radial inclination was 19.92°; mean ulnar variance was 1.12 mm and mean palmar inclination was 9.76°. CONCLUSION: Modular external fixator system revealed clinically and radiologically effective in the treatment of unstable and comminuted DRFs. Additional K-wires should be used to complement the fracture fixation, when there is unacceptable fragment reduction only with external fixator.
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spelling doaj.art-70fc150ce27f4826b8c66ce8e28d49832022-12-21T21:03:19ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2021-11-0115310811410.5704/MOJ.2111.016A Prospective Observational Clinical and Radiological Study of a Modular Bridging External Fixator for Unstable Distal Radius FracturesMaccagnano G0Noia G1Vicenti G2Coviello M3Pesce V4Moretti B5PhDMDPhDMDPhDPhDINTRODUCTION: Distal Radius Fractures (DRFs), with a reported annual incidence of 600,000, are common injuries treated by trauma surgeons. This prospective observational study aims to assess the efficacy of a modular external fixation system in the treatment of unstable distal radius fractures at 12-months follow-up. MATERIALS AND METHODS: Between December 2014 and December 2016, 35 patients (female: 21, male:14; mean age: 62.5), with unstable DRFs, treated with modular external fixation system, were selected for this prospective observational study. All the patients underwent clinical and radiological reviews at follow-up. RESULTS: At 12-month follow-up, a mean DASH score of 15.73 and a mean PRWE score 20.10 were recorded. Mean radial inclination was 19.92°; mean ulnar variance was 1.12 mm and mean palmar inclination was 9.76°. CONCLUSION: Modular external fixator system revealed clinically and radiologically effective in the treatment of unstable and comminuted DRFs. Additional K-wires should be used to complement the fracture fixation, when there is unacceptable fragment reduction only with external fixator.http://morthoj.org/2021/v15n3/modular-external-fixator.pdfunstable distal radius fracturemodular external fixatorradius fractureclosed reduction and internal fixation (crif)wrist fracture
spellingShingle Maccagnano G
Noia G
Vicenti G
Coviello M
Pesce V
Moretti B
A Prospective Observational Clinical and Radiological Study of a Modular Bridging External Fixator for Unstable Distal Radius Fractures
Malaysian Orthopaedic Journal
unstable distal radius fracture
modular external fixator
radius fracture
closed reduction and internal fixation (crif)
wrist fracture
title A Prospective Observational Clinical and Radiological Study of a Modular Bridging External Fixator for Unstable Distal Radius Fractures
title_full A Prospective Observational Clinical and Radiological Study of a Modular Bridging External Fixator for Unstable Distal Radius Fractures
title_fullStr A Prospective Observational Clinical and Radiological Study of a Modular Bridging External Fixator for Unstable Distal Radius Fractures
title_full_unstemmed A Prospective Observational Clinical and Radiological Study of a Modular Bridging External Fixator for Unstable Distal Radius Fractures
title_short A Prospective Observational Clinical and Radiological Study of a Modular Bridging External Fixator for Unstable Distal Radius Fractures
title_sort prospective observational clinical and radiological study of a modular bridging external fixator for unstable distal radius fractures
topic unstable distal radius fracture
modular external fixator
radius fracture
closed reduction and internal fixation (crif)
wrist fracture
url http://morthoj.org/2021/v15n3/modular-external-fixator.pdf
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