Abstract: Distal radius fractures are a common orthopaedic injury that can be challenging to treat, particularly when they are caused by severe high-energy trauma and involve intra-articular comminution. Conservative methods, such as immobilization in a cast, may not be sufficient for intra-articular fractures due to the complex anatomy of the wrist joint and the high rates of complications associated with these injuries. Therefore, there is a growing interest in exploring innovative treatment options that can improve outcomes for patients with intra-articular fractures of the distal end of the radius.
The aim of this study is to evaluate the functional outcome of the wrist in the management of comminuted intra-articular distal end radius fractures by external fixators. The use of external fixators has been found to be particularly effective in severely comminuted fractures, with minimal complications. The present study aimed to assess the outcomes achieved through external fixation for comminuted intra-articular distal end radius fractures, with a focus on functional outcomes and post-operative complications. The study involved a total of 50 patients who were treated with external fixation and followed up for a minimum of 12 months. The outcomes assessed included range of motion, grip strength, radiographic measures of articular congruity, and the presence of post-operative complications.
The results of this study suggest that external fixation is an effective method for treating comminuted intra-articular distal end radius fractures, with good outcomes achieved in terms of functional recovery and prevention of deformity and disability due to malunion. The technique was found to allow for early mobilization and rehabilitation, with a relatively short duration of immobilization required. In addition, the technique was associated with minimal post-operative complications.
The study thus highlights the importance of careful consideration of the choice of fixation method in the treatment of distal radius fractures and the potential benefits of external fixators. The use of novel technologies, such as 3D-printed patient-specific implants and advanced imaging techniques, may offer new treatment options for patients with distal radius fractures. Further studies are also needed to evaluate the long-term outcomes and cost-effectiveness of different treatment modalities, including external fixation, to ensure that patients receive the best possible care.
