Aparato Locomotor

VOL 5 Supl. II  2007

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Usefulness of arthroscopy in the treatment of distal radius fractures

Unidad de Cirugía de la Mano

Servicio de Cirugía Ortopédica y Traumatología

Hospital General Universitario Gregorio
Marañón Madrid.

Del Cerro M.

De las Heras J.

García D.

Martín A.

Vaquero J.

Introduction and objectives: Intraarticular fractures of distal radius are associated with high energy mechanisms, are severe and difficult to obtain a surgical reduction. The aim of this study is to compare the clinical, radiographically and activity results in workers treated with indirect reduction and percutaneous pinning.

Material and methods: A prospective study was organized in 24 heavy-labour workers with unstable fractures of distal radius. The minimal follow-up was of one year. The mean age were 40 years (22-65 years) and dominant limb was involved in 40% of the cases. All patients were surgically treated with indirect reduction and percutaneous fixation with K-wires and cast immobilization. Pain (visual analogue score), mobility and radiograhs were evaluated and also strength (isokinetics), functionality (DASH score) and, finally, the return to work at 3, 6 and 12 months.

Results: Fracture healing was obtained at 7 weeks but. Pain score, at 12 months, were 2,9 points. The flexion - extension mobility loss, in relation to the contralateral wrist, was 11º. Radiographs corrections were non-anatomically in 35% of the cases. The mean DASH score was 29 and the loss of grip strength related to contralateral wrist was 23%. All the patients return to the same work activity 14 weeks after surgery.

Conclusions: Indirect reduction with percutáneous pinning with triangle fixation frame, allows excellents clinical, X-ray and laboral results, comparable with another surgical techniques.

Correspondencia:

M. del Cerro Gutiérrez
Servicio de Cirugía Ortopédica y Traumatología
H.G.U. Gregorio Marañón. Doctor Esquerdo 46. 28007 Madrid
E-mail: migueldelcerro@yahoo.es

Patología del Aparato Locomotor, 2007; 5 Supl. II: 64-71


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