الفهرس | Only 14 pages are availabe for public view |
Abstract Aim of the work To com pare different classification and choose the best and simplest treatment based one and also to compare different methods used in management of fractures of the distal radius including: 1- Open, closed and arthroscopic reduction. 2- Immobilization either by plaster cast, external fixator or percutaneous pinning. 3- Rehabilitation during immobilization and after fracture healing. And to compare indications, advantages and disadvantages of each technique to reach a standard method of classification and management. Conclusion Multi fragment fractures: 1- Compression fractures of the articular surface:- At time the result of a high-energy impact, these fractures tend to be less amenable of closed manipulative reduction and are inherently unstable when immobilized in plaster. More often than not will require manipulative reduction and/or external fixation to prevent redisplacment. It will generally respond to closed manipulative reduction and percutaneous pinning. A percutaneous reduction may also be necessary in some instances of impaction of a dorsomedial articular fragment. When the simple articular fracture is associated with communication of the radial metahysis external fixation and autogenous bone graft is the most effective method to prevent radial shortening. |