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Daniel A. Rikli1, Jan Rosenkranz1, Pietro Regazzoni2 |
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Objective: Outcome of complex distal radius fractures.
Design: Retrospective clinical observation.
Setting: Outcome assessment of a clinical series of
patients with complex distal radius fractures treated according to a structured, stepwise treatment
algorithm.
Patients: 17 patients (average age 47 years) with mostly high-energy injuries, 16/17 articular fractures including concomitant carpal injuries, fracture dislocations,
extension of the fracture into the diaphysis, and large defects.
Intervention: Initial external fixation, followed by soft tissue treatment and further diagnostics and, finally, definitive adapted surgical therapy including combination of external fixation, plates, screws, K-wires, bone graft, and ligament repair.
Main Outcome Measurements: DASH, range of motion, radiologic outcome.
Results: Average subjective overall performance score (DASH) 16.4 (0?36.7, standard deviation [SD] 11.82, 95% confidence interval [CI] 8.0?23.6), 73% of the patients back to premorbid work and activities.
Conclusions: Using a clearly structured, stepwise approach, complex distal radius fractures can be treated with good clinical outcome preserving hand function.
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