Analysis Of The Clinical Efficacy Of Two Surgical Treatments Of Unstable Distal Radius Fractures

Distal radius fracture is generally seen in clinical practice, but is also easilyignored and thus results in obvious functional limitations because of the impropertreatment. There are various treatment methods for different type of bone fracture.Objective: To evaluate the clinical results of internal fixation by Kirschner wirethrough limited incision combined with external fixation (IFEF) and open reduction andinternal fixation (ORIF) for the treatment of unstable fractures in distal radius.Methods: from March2009to March2012,43patients(average age:51years)with unstable distal radial fractures were treated in our department by the sametreatment group with different treatments. According to AO Muller classification, therewere5cases of type A,14cases of type B, and24cases of type C. There were21casesin the IFER group, and the ORIF group had22cases. The duration of operation andincision size were recorded. The patients were followed up3months and6months aftersurgery. Measured the activity of the wrist (palmar flexion, dorsiflexion, ulnar deviation,radial deviation, pronation, supinaion), and their associated imaging date(palminclination, ulnar deviation, radical shortening, recovery of the articular surface),andaccording to Lidstrom scoring criteria to measure and calculate the score of the two setsof restoration and function.Results: IFEF group average operation time about63minutes, ORIF groupaverage operation time about87minutes. After3months follow-up, group IFEF pintract infection in four cases; After one year ORIF group two cases of tendon rupture.IFEF group reset score and the functional functional score had no significant differencecompared with ORIF group. After6months follow-up, the two groups also had nosignificant difference, and the same did the wrist radiographic parameters.Conclusion:For unstable distal radical fractures, internal fixation by Kirschnerwire through limited incision combined with external fixation and open reduction and internal fixation have no significant different in the recovery of wrist function andrelated imaging. But limited incision Kirschner wire internal fixation combined withexternal fixation treatment option have some merit, such as less surgical trauma, lessdamage to the local blood supply, shorter surgery time, to avoid secondary surgery, is akind of economical and practical method.