Staged treatment of multifragmentary intraarticular distal radius fracture with the temporary use of Ilizarov external fixator

Authors

  1. Burdenko Main Military Clinical Hospital, Russian Federation, Russian Federation
  2. Pirogov National Medical and Surgical Center, Moscow, Russian Federation
  3. RUDN University; Moscow, Russian Federation

https://doi.org/10.35571/RMSJ.2019.2.002

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Abstract

Introduction. Distal radius fracture is the most frequent fracture in humans. Most authors recommend surgical treatment for intraarticular fracture. A large number of different methods of surgical treatment have been proposed. However, in the long-term treatment no significant superiority of any one method over others has been statistically revealed. Objectives. To study the results of using of Ilizarov external fixation as primary fixation (first step treatment) for the period from injury to final ORIF with a volar locked plate. Patients and methods. The study is based on the analysis of the results of surgical treatment of 81 patients with multifragmentary intraarticular distal radius fractures. These fractures are considered unstable and conservative treatment is not preferred. Patients were divided into 2 groups of 41 and 40 people. In patients of the first group (control group), at the first stage, a closed reduction was applied followed by preoperative immobilization with a classical cast bandage. Patients of the second group (study group) as the first stage of treatment performed fixation of the wrist joint with its distraction in the bridge Ilisarov external fixator. In a few days after reducing swelling all patient had ORIF with volar locked plate. To assess the function of the upper limb in the postoperative period, a DASH questionnaire was used. The results were evaluated at 3,6,12 and 18 months. Results and discussion. In 3 months after surgery revealed a significant improvement in the function of the upper limb (estimated by DASH). After 1.5 years after surgical treatment, no statistically significant difference in the result of treatment was revealed. We suppose that distraction of the wrist joint with Ilizarov external fixator accelerates reducing swelling in preoperative period of time and can improve reduction during ORIF.

Keywords

distal radius fracture, external fixation, DASH, staged treatment

Для цитирования:

Крюков Е.В., Брижань Л.К., Давыдов Д.В., Гречухин Д.А. Многоэтапное лечение оскольчатого внутрисуставного перелома дистального метаэпифиза лучевой кости с применением спицевого аппарата наружной фиксации. Российский медико-социальный журнал. 2019;1(2):21-28. https://doi.org/10.35571/RMSJ.2019.2.002

For citation:

Kryukov E., Brizhany L., Davydov D., Grechukhin D. Staged treatment of multifragmentary intraarticular distal radius fracture with the temporary use of Ilizarov external fixator. Russian Medical and Social Journal. 2019;1(2):21-28. (In Russian) https://doi.org/10.35571/RMSJ.2019.2.002

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About the authors

  • Evgeniy Kryukov, Burdenko Main Military Clinical Hospital, Russian Federation, Russian Federation

    Burdenko Main Military Clinical Hospital — Head,MD

  • Leonid Brizhany, Burdenko Main Military Clinical Hospital, Russian Federation, Russian Federation, Pirogov National Medical and Surgical Center, Moscow, Russian Federation

    Burdenko Main Military Clinical Hospital — Traumatology and orthopedics Dept, Head,MD, Chief traumatologist

    Pirogov National Medical and Surgical Center, Moscow, Russian Federation — Dep of Surgery with courses in traumatology, orthopedics and surgical endocrinology, Institute for Advanced Medical Studies, Professor

  • Denis Davydov, Burdenko Main Military Clinical Hospital, Russian Federation, Russian Federation, RUDN University; Moscow, Russian Federation

    Burdenko Main Military Clinical Hospital — Traumatology and orthopedics Dept, Head of the Unit

    RUDN University; Moscow, Russian Federation — Traumatology and orthopedics Dept, Medical Institute,, Professor

  • Dmitry Grechukhin, Burdenko Main Military Clinical Hospital, Russian Federation, Russian Federation

    Burdenko Main Military Clinical Hospital — Emergency Traumatology Unit, Traumatology and Orthopedics Dept, M.D.

How to Cite

Staged treatment of multifragmentary intraarticular distal radius fracture with the temporary use of Ilizarov external fixator. (2019). Russian Medical and Social Journal, 1(2), 21-28. https://doi.org/10.35571/RMSJ.2019.2.002
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ISSN (Print) 2658-7726 ISSN (Online) 2658-7718