The Journal of Bone and Joint Surgery, Vol 69, Issue 2 248-254, Copyright © 1987 by Journal of Bone and Joint Surgery, Inc
Dynamic external fixation for comminuted intra-articular fractures of the distal end of the radius
TA Clyburn
An external fixation device that allows motion of the wrist was developed
for the treatment of severely comminuted intra-articular fractures of the
distal end of the radius, and in specimens from cadavera that motion was
demonstrated with the device in place. Thirty patients who had thirty-two
comminuted intra-articular radial fractures were then treated with fixation
using this device during a six-month interval. Thirty-one of the wrists
were examined at follow-up one and two years later. The first fifteen
wrists that were allowed full flexion and extension immediately
postoperatively had lost some volar tilt postoperatively. The other
patients, for whom only flexion was allowed immediately postoperatively,
while extension was allowed four weeks later, did not lose volar tilt. The
device maintained the reduction of the fracture fragments and allowed the
early return of a functional range of motion of the wrist.
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