EXTERNAL FIXATOR VERSUS PIN AND PLASTER: THE APPROACH TO DISTAL RADIUS FRACTURES
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Masoud ShayestehAzar * , Majid Sajadi , Mohammad Hossein Kariminasab , Seyed mohamad Mehdi daneshpoor , Mehran Fazli , Elnaz Kasiri , Shadi ShayestehAzar |
Department of Orthopedic Surgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran. |
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Abstract: (10374 Views) |
distal radius fracture is the most common fracture of the long bones in adults and is quite prevalent amongst orthopedic patients.Methods: This is a randomized clinical trial conducted with recruiting 70 patients suffered from comminuted distal radius fractures. The study was carried out in Imam Khomeini Hospital, Sari, Iran, in 2011 and 2012.Results: All patients in the external fixator group (37 patients) showed the radiographic features of the ::union:: while only 29 patients in the pin & plaster group (93.5%) manifested evidence of ::union:: (p= 0.117). Only 4 patients (10.8%) in the external fixator group and 7 patients in the pin and plaster group had mal-::union:: (p= 0.189). Eight patients (11.8%) had infection of the pin site, 2 patients (5.4%) in the external fixator and 6 patients (19.4%) in the pin and plaster group.Conclusion: According to the results of this study, external fixator had fewer side effects in comparison to the pin and plasters surgery and is a preferred treatment for comminuted distal radius fractures. Moreover, this technique is associated with better clinical and functional outcome. |
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Keywords: distal radius fracture, external fixator, pin and plaster |
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Full-Text [PDF 382 kb]
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Type of Study: Research |
Subject:
Special
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