Using unstable fractures of the distal end of the radius: open reduction and internal fixation with T - type plate / 中华外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To treat unstable fractures of the distal end of the radius with open reduction and internal fixation with T-type plate.</p><p><b>METHODS</b>45 patients were treated with T-type plate. Bone graft was used in fifteen patients with severe bone defect. Clinical findings of 45 patients with fractures of the distal end of the radius (one is bilateral fractures) showed fairly good results.</p><p><b>RESULTS</b>The patients were followed up for an average period of 25.36 months. 41 patients showed excellent or good results with a rate of 91.11%.</p><p><b>CONCLUSION</b>It is difficult to reduce unstable fracture of the distal end of the radius in the way of close reduction. Re-displacement is frequent for external fixation and is not reliable in maintaining reduction. These fractures should be treated with early open reduction and internal fixation, and reasonable exercise should be taken after the operation. Good results can be predicted. The most important factors affecting final outcome include radial shortening and reduction of articular surface.</p>