Abstract
OBJECTIVES: The present study is conducted to evaluate the fracture healing and functional results of combined dynamic with static external fixator for comminuted distal radius fracture. Material and methods: Twenty three adult patients with twenty six comminuted distal radius fractures between age group of 21-67yrs were included. There were five Fry kman type 6, ten Frykman type 7 and eight Frykman type 8 fractures. Closed reduction with ligamentotaxis and percutaneous k-wire fixation was done. Wrist spanning mini external fixator was applied and the k- wires supporting the intra-articular reduction were incorporated into the fixator. The fixator was dynamized at 3 weeks by removing the metacarpal pins and cutting short the connecting rod. The dynamized frame was maintained for 3-6weeks. The patients were followed up for 1 year. Gartland and Werley scoring system was used to assess functional outcome. RESULTS: Average time to union was 7.4 weeks. 11 patients (48%) were rated as excellent, 9 (40%) rated as good and 3 (12%) as fair under Gartland and Werley score. CONCLUSION: Our technique of modified JESS fixator did demonstrate good anatomical restoration and early objective functional results.
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