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.
KeywordsDistal Radius External Fixation Distal Radius Fracture Index Metacarpal Unstable Distal Radius Fracture
- 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