Abstract
We studied the effectiveness of treatment with AO-Mini external þxator in complete articular fractures of distal radius, type 23-C. Mat. and meth.: we were reviued 474 distal radius complete articular fractures treated with AO-Mini external þxator during 10 years. All of fractures were documented by de AOI sheets. We used de Classiþcation of long bones from M.E.MŸller because itñs a global system of classiþcation. Results: in 474 fractures, 246 are females and 228 males. The age are between 15 to 94 years, and the age average 51ñ59 years (63ñ14 females, 38ñ84 males).212 fractures are located in the right wrist, and 262 in the left wrist. 14% (66 cases) were open fractures. Etiology: 19% Work,23% Trafþc,8% Sports,30% Home, 20% Others. The 15% of cases had pathological antecedents previously, 27% had local injuries associated and 28% had general injuries associated. 68% were operated for a Senior Surgeon, 61% with loco-regional anaesthesia, 33% were treated with antithrombotic prophilaxis, and 25% with antibiotic treatment. The 46% of cases needed some other implant, and 15% needed surgery for collateral injuries. Complications: 4% local acute complications and 1% of general acute complications. In the late follow-up, 18% of cases were local late complications and 2% general late complications.
At the end of the follow-up, in 81% of cases the use of extremity was better than 75%, and 83% of patients were pain free.
X-Ray: 10% had Distrophy, and 56% had some articular alterations.
Four month post-operative, 54% were recovered, and at the end of the follow-up 68%, of cases the þnal disability is < 25%. The final evaluation: is good/excellent in the 75% of cases.
Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
