External fixation for comminuted fractures of the distal radius

A severely comminuted intra-articular closed fracture of the distal part of the radius in 32 adults was treated by closed reduction and external fixator. Complications were rare, and there was no loss of fixation of the pins. 17 patients had an excellent result; 11 a good result; and 4 a poor result, on the basis of pain, motion, strength, and radiographic appearance. Radial length was well maintained, with shortening averaging less than one millimeter. This study shows the efficacy of external fixator in treatment of these complex fractures