Functional evaluation of surgical fixation of distal radius
Keywords:Surgical fixator, Gartland and wereley scoring system, Closed reduction, Trauma, Distal radius fracture, Comminuted fracture
Background: Distal radius fractures are the most recurrent fractures happening in the upper extremity. We conducted a prospective hospital-based clinical study on the management of distal radius fractures with surgical fixation. To assess functional outcome and to assess the effectiveness of surgical fixation in the intra-articular distal end of radius fractures.
Methods: This prospective study comprised 40 patients treated with surgical 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.
Conclusions: Surgical fixation used for ligamentotaxis is an effective method of treating intra articular distal radius fractures.
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