Abstract
The Clyburn Dynamic Fixator has a ball and socket type joint that makes it possible to have early wrist joint motion while holding the comminuted fracture of the distal end of radius in a reduced position. We treated 18 fractures of the distal end of the radius with the Clyburn Dynamic Fixator from 1992 to 1996. According to the Flykmann classification, up to 70% of all of these fractures were type VII and VIII. Postoperative results were evaluated using Saito's criteria. Fifteen fractures had excellent and three fractures good results. The mean period from external fixation to the beginning of joint motion was 21 days (range, 9-28 days). One case which had shortening of the radius after beginning joint motion 14 days after surgery, was reducted again, followed by two months fixation without joint motion. This case had a bone defect around the fracture area, which required a bone graft with external fixation.
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