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العنوان
Role of External Fixator Combined with T-Plate Internal Fixation in the Treatment of Comminuted Distal Radial Fractures /
المؤلف
Al-Akbawy, Mostafa Abd El-Fadil.
هيئة الاعداد
باحث / مصطفى عبد الفضيل العقباوى
مشرف / مصطفى حسين حجازى
مشرف / وليد محمد عويس
مشرف / أشرف عاطف محمود
الموضوع
Orthopedics.
تاريخ النشر
2018.
عدد الصفحات
133 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
16/1/2019
مكان الإجازة
جامعة طنطا - كلية الطب - orthopedics
الفهرس
Only 14 pages are availabe for public view

from 150

from 150

Abstract

A technique of external fixator combined with T-plate internal fixation for intra-articular fractures of the distal radius is based on the finding that the separate t-plate fixation do not give complete stability to the fracture, but, if it is combined externally by external fixator, you get a solid synthesis of the fractured radius. This enables early mobilization of the wrist without the use of plaster cast. The most common fractures of the upper extremity, fracture of the distal radius represent approximately one-sixth of all fractures treated in emergency, falling on out stretched hand is the most common mode of trauma, It can also result from direct impact or axial forces, motor vehicle, accidents occupational injuries, and sporting activities, AO/ASIF classification was used to classify patients in this study, infections is the most common complication that should be avoided. There are multiple modalities of treatment including casting, percutaneous pinning, fixation by plate and screws, external fixation and combined method. Anatomical knowledge to the nerves and arteries to avoid being hit or cut it and exploration before entering the shanz to avoid injury is a must. Patients had excellent range of motion, normal ROM of the arm, shoulder, and hand, and no significant differences in the radiographic parameters between fracture fixation and fracture healing. Complications were few. External fixator combined with T-plate internal fixation is an efficacious treatment option for intra-articular distal radius fractures with excellent long-term results.