[The treatment of distal splinter fractures using an external fixator. Indications and technic].

Abstract

To sum up we can say that only 10-20% of the distal radius fractures are treated by an external fixator. The combination with the percutaneous Kirschner wire-osteosynthesis is a must for us. About 80 to 90% of the cases are provided according to the category A, that means closed. For 10 to 20% the opened reposition and spongiosa bone graft is needed whereby here the fixator will be put primary for distraction and ligamental replacement. The results of 85% can be judged as good or very good. 15% only are satisfactory or insufficient. These experiences are corresponding to the results of Cooney (1980) and Vidal (1977). Contrary to the original opinion that the older patient is not suited for this treatment it was showed that the incidence of the dystrophy is not higher in an advanced age. The assumption for a successful use of the external fixator is the choice of a suitable fracture, the readiness of the patient for cooperation and the possibility of a regular after-care and control. In that sense the technic completes the normal therapeutical method in the treatment of the distal radius-fracture.