Management of unstable distal radius fractures by ligamentotaxis with external fixation

Abstract

Distal radial fractures accounts 16% in upper limb fractures. Not only management and restoration of articular compatibility is also a major task for successful recovery. External fixation, ligamentotaxis provides best functional and anatomical outcome for unstable distal radial fractures. This study was designed to assess the efficacy of ligamentotaxis with external fixation in the management of distal radius fractures. A total 32 cases with a chief complaint of unstable fractures distal radius between age group 3nd to 7th decades were considered. All fractures were fixed with external fixator with ligamentotaxis. Study outcome was evaluated by Modified of Gartland and Werley Demerit point system. 21.8% cases had excellent results, 40.6% cases had good results, 28.1% cases had moderate results and 9.3% cases had poor results when treated with ligamentotaxis with external fixation. Grip strength complication was seen in 2 cases (Table 4). No associated symptom was seen in 20 cases. Ligamentotaxis withexternal fixation is an effective method for unstable distal radius fractures management. It is minimally-invasive technique which reduces anatomical disabilities of distal radius fractures.