1. Versorgung der distalen Radiusfraktur mit isoelastischen, intramedullären Drähten
- Author
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B. Fortmeier, T. Schlummer, V. Gilbert, and G. Lasek
- Subjects
Functional Treatment ,medicine.medical_specialty ,Fixation (surgical) ,Osteosynthesis ,Plate osteosynthesis ,business.industry ,medicine ,Surgery ,business - Abstract
Background: There is still controversy regarding the appropriate operative procedure of distal radius fractures. We reviewed a method of fracture stabilization, which combines the advantages of open fixation and closed reduction. The method is less complex than regular K-wire osteosynthesis. The follow-up treatment is similar to plate osteosynthesis. Methods: Without using any drill-device long K-wires are placed percutaneously in the distal radius. The result of the particular wire-placement is an isoelastic tension in the opposite direction of the common redislocations. This enables an early functional treatment. We reviewed 45 patients and determined the Castaing-Score and the loss of correction. Results: 88.9% showed excellent or good results. The average loss of correction of 2.84° is recognizable lower than within regular K-wire osteosynthesis. Complications are rare and comparable to other closed-reduction procedures. Conclusions: The study confirms the theoretical advantages of the described method and we recommend this technique.
- Published
- 2007
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