[The external fixator in unstable fractures of the distal end of the radius. Current literature review]


Published online: Dec 27 1991

O Delaere, and P Hoang.

Service d'Orthopédie, Cliniques universitaires Saint Luc, Bruxelles, Belgique.

Abstract

A recent review of the literature concerns instability of distal radius fractures and their treatment by external fixation. Redisplacement of distal radius fractures most often occurs chronically, and the severity can be predicted by initial deformity, axial shortening and dorsal comminution of the radius. The need for an anatomical reduction of these fractures is emphasized by different clinical and biomechanical studies. For many authors, external fixation provides good to excellent results in more than 75% of cases, both clinically and anatomically. Most of the complications are benign and do not affect long-term results. This study also discusses the different techniques and the best indications for external fixation.