Document Detail


Treatment of unstable fractures of the distal radius by external fixation.
MedLine Citation:
PMID:  3997946     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Roger Anderson external fixator was used in the treatment of unstable fractures of the distal radius in 52 patients, and the results evaluated after a follow-up averaging 58 months. The indications for its use were failure to maintain adequate closed reduction using plaster, and instability of the fracture as determined by the initial radiographs. Our radiological criteria for instability included dorsal angulation of more than 20 degrees, fractures involving the joint, radial shortening of more than 10 mm, and severe dorsal comminution. Using the Lucas modification of the Sarmiento demerit point-rating system, we found that 46 patients (89%) had good or excellent results and six (11%) were classified as fair. There were no poor results. Seven patients (14%) developed complications. None of these affected the long-term results except in one elderly woman where the pins loosened and had to be removed.
Authors:
P A Vaughan; S M Lui; I J Harrington; G L Maistrelli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  67     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  1985 May 
Date Detail:
Created Date:  1985-07-22     Completed Date:  1985-07-22     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  385-9     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Follow-Up Studies
Fracture Fixation / instrumentation,  methods*
Humans
Male
Middle Aged
Radius Fractures / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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