Abstract
We studied the treatment with osteosynthesis in the 23-C fractures. Material and methods: we reviewed 259 complete articular fractures of the distal radius, type 23-C treated with plate osteosynthesis during 10 years. All cases are documented with the AOI sheets. All cases were classiþed with the Classiþcation of long bones of M.E.MŸller. Results: in the 259 fractures, 137 are females and 122 males, the age are between 10 to 84 years, the age average are 48ñ59 years (60ñ52 in females group, and 35ñ19 in the males group).
105 (41%) cases are in the right wrist, and 154 (59%) cases in the left wrist, 32 (12%) are open fractures. Etiology: 9% work,36% Trafþc,11% Sports,27% Home, 17% Others. The 17% had pathological antecedents previously. 18ñ5% had local injuries associated and 24ñ3% had general injuries associated. The 85% were operated for a Senior surgeon, 53% with loco-regional anaesthesia; 50% were treated with antithrombotic prophilaxis, and 26% with antibiotic treatment. 40% of cases needed some additional implant and the 24% needed surgery for the collateral injuries. We had 2% of acute local complications and 1% of general acute complications. During the follow-up, the 10% had local late complications and 1% had general late complications.
At the end of the follow-up, in 92% of patients (234 cases) use the extremity better than 75%, and 89% were pain free. X-Ray evaluation: 2% were Distrophy, and in 33% of cases had some articular alteration. Four months post-operative the 59% were recovered. The þnal disability is < 25% in the 85% of cases. Final evaluation: 88% of cases are good or excellent.
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.
