Purpose: To evaluate the effectiveness of external fixation in maintaining the reduction of the unstable distal radius fractures and to identify possible factors that might affect the loss of the reduction.

Material and Methods: Sixty-five unstable distal radius fractures were treated with the application of external fixation. Closed reduction was achieved in 45 (69%) fractures. Additional internal fixation (K- wires) was performed in 21(31%) fractures. The external fixator was removed at an average of 35 days. The dorsal, volar and radial displacement of the distal radius, and the radial height were recorded in anterior -posterior and lateral radiographs, immediately after the surgery and six months postoperatively.

Results: Loss of the reduction in, at least, one of the radiographic parameters was noted in 43(66%) fractures. The mean value of the dorsal displacement of the distal radius progressed from 2° immediately after the surgery to 5° at 6-month radiographs. Loss of the reduced volar tilt greater than 4° was measured in 32(49%) fractures. Radial height loss greater than 3 mm was recorded in 22(34%) fractures. Significant difference (p< 0.001) of the reduction loss was found when internal fixation accomplished by K- wires was added. However none corrective osteotomy for malunion of the fracture was needed to be performed. Age and the severity of the injury were not correlated with the final result.

Conclusions: External fixation in unstable distal radius fractures was found inadequate in maintaining the intra-operative reduction and should be augmented with internal fixation or with the use of bone grafts.

Background: We present the results of the surgical treatment of calcaneal fracture using the technique of closed reduction and stabilization with two pins.

Method: 18 calcaneal fractures have been examined in 18 patients, 14 male and 4 female. Some fractures were tongue type and the rest were joint depression type (C,D,E according to Essex- Lopresti classification).

Mean follow up time was 2 years. With general or epidural anesthesia and image intensifier we operated using the first pin to reduce closely and stabilize the bone and afterwards we put a second one to secure the result.

Result: 10 patients have pain after a lot of work(good), 7 patients have pain after a walk (moderate), 1 patient have pain during the bed resting (bad).

Conclusions: The treatment of the calcaneal fracture is a very difficult job. The above mentioned method of surgical technique is looking to have good results in treatment of calcaneal fracture with the specific characteristics.