External Fixation About the Wrist and the Forearm
Fractures of the forearm and wrist are usually treated with direct osteosynthesis – plates, pins, and screws. These fractures and dislocation are important but unimportant. They do not cause loss of life. Patients with major, life-threatening injuries need life-saving treatments first and intricate limb repair later. The damage control strategy facilitates staged repair. A complex trans-scaphoid perilunate fracture dislocation with a dorsal marginal fracture of the distal radius is not well repaired while the patient’s life is at risk from a high-grade bleeding liver laceration. Even in straightforward injures, like both bone forearm fractures it is a useful option to stage repair with external fixation for “traveling traction” followed by planning internal fixation when the forearm bones are at length and the swelling has subsided.
- 1.Dodds SD, Cornelissen S, Jossan S, Wolfe SW. A biomechanical comparison of fragment-specific fixation and augmented external fixation for intra-articular distal radius fractures. J Hand Surg. 2002;27A(6):953–64.Google Scholar
- 3.Chang D, Kummer FJ, Egol K, Tejwani N, Wolinsky P, Koval KJ. Biomechanical comparison of five external wrist fixators. Bull Hosp Joint Dis. 2002–2003;61(1–2):40–4.Google Scholar
- 4.Schuind F, Donkerwolcke M, Burny F. External fixation of wrist fractures. Orthopedics. 1984;7:841–4.Google Scholar
- 5.McQueen MM, Hajducka C, Court-Brown CM. Redisplaced unstable fractures of the distal radius: a prospective randomized comparison of four methods of treatment. J Bone Joint Surg. 1996;78(3):404–9.Google Scholar
- 10.Handoll HHG, Huntley JS, Madhok R. Different methods of external fixation for treating distal radial fractures in adults. Cochrane Database Syst Rev. 2008;23(1):CD006522.Google Scholar