Journal List > J Korean Soc Fract > v.9(3) > 1078434

Kim, In, Chung, and In: Operative Treatment of Unstable Fracture of Distal Radius

Abstract

Fracture of distal radius represent the most common fractures of upper extremity. Recently, distal radius fractures are recognized as very complex injuries with a variable prognosis according to the fracture type and the treatment. Because unstable distal radius fractures have a high incidence of secondary displacement and shortening, they are not amenable to the traditional methods of closed manipulation.
We classified distal radius fractures by Fernandez classification and analysed thirty-six cases of fractures followed up more than one year at Dae-Dong Hospital from March 1993 to September 1994 after ORIF with T-plate.
The result were as follows:
1. ORIF of unstable fracture of distal radius with small T-plate, selective bone graft using volar approach, 81% of the patients had a rating of good or excellent by the modified scoring system of Green and OBrien.
2. Severely comminuted fractures as Fernandez type V necessitated additional fixation such as external fixator.
3. Femandez classification based on the mechanism of injury was helpful in planning the treatment of unstable distal radius fractures.

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