ABSTRACT
Background: Assess the outcome of intraticular comminuted fracture distal radius treated with orthofix external fixator
Methods: Prospective study with inclusion criteria of Comminuted intraarticular fractures distal radius, 20 to 60 years age, close and open fractures and exclusion criteria of patient above 60 years, extraarticular fracture, volar and dorsal barton fractures, more then 10 days old fracture
Results: From Januarry 2012 to sept 2014, 63 patient with intraarticular comminuted fracture distal radius treated with orthofix external fixator included in this study. Functional outcome was assessed on Gartland and Wesley scoring system. 40 [63%]male and 23[37%] female patients, 35[56%] road traffic accident and 28[44%] have fall. AO C1, were 32[51%], C2 ,19[30%], C3, 12[19%] patients. Additional kwire fixation applied in 54 patients.Fixator removed at 6 weeks. Functional result were excellent in 26 patient[41%], good 32[51%], satisfactory in 4 patient[6%], poor in 1[2%]. Complication observed were, minor and major pin track infection 30[65%], tethering of external indicis tendon 3[7%] patient, k wire loosening 10[22%] and sudecks atrophy 3[7%] patients
Conclusion: Orthofix external fixator application in intraarticular comminuted fracture distal radius is recommended because it is minimal invasive technique ,have excellent to good outcome . Most of the times needs additional kwire fixation for the fragment stabilization