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Principles of external fixation and supplementary techniques in distal radius fractures T. Gausepohl, D. Pennig, K. Mader Department of Trauma
Surgery, Hand and Reconstructive Surgery, St. Vinzenz-Hospital,
Merheimer Str. 221ą223, D-50733 Cologne, Germany Abstract External fixation for fractures of the distal radius has been used for almost 80 years. The main objective is to gain reduction and maintain the reduction throughout the treatment period. Several fixator concepts are available and selection is based on the complexity of the injury to be treated as well as the surgeon's experience. Periarticular application of the fixator with immediate use of the wrist joint is recommended whenever possible. For intra-articular fractures, transarticular application is advisable. External fixtion in complex fractures has to be supplemented by bone grafting, fixation wires and stabilization of the radioulnar joint. Associated injuries in distal radius fractures need to be identiŽed and treated. The possible complications of external fixation and the means to prevent them are discussed. External fixation of the distal radius has found its place as an established method in treating certain types of this common fracture. C 2000 Elsevier Science Ltd. All rights reserved. |
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