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At least 559 records · Page 31Linked to original sources
PubMed1987

[Bore wire osteosynthesis in distal radius fracture].

Treatment results and complications of 404 percutaneous drill wire fixations in patients with dislocated radial fracture of typical situation will be reported. The most frequent complications were secondary impression of fracture, transient paraesthesia as well as perforation through the skin by drill wire. There was no case of osteitis or pseudo-arthrosis. Treatment results were judged excellent or good in 84% of cases, satisfactory in 11% and poor in 5%. For dislocated wrist fractures and for elderly patients osteosynthesis with percutaneous drill wire according to Willenegger is superior to non-operative procedures.

Adult↗
PubMed1983

[Our corrective osteotomy for radius fractures healed in defective position at the typical spot].

Authors give literary survey about correction possibilities of Colles fractures healed in failed position. In their paper the procedure of their clinic reviewed: with oscillating saw a wedge is removed from the radius on place of the failed fracture and so the normal angles of the radiocarpal joint can be restored. But at the same time the ulna must also be shortened with removal of a segment from the distal part. Both bones will be fixed laterally with ASIF semi-tubular plates. Results were evaluated with the McBride point system. From 23 cases 22 were available for follow up examination. 8 cases were "excellent", 13 "good", 1 "fair". There was no "bad" among the cases. Our favourable results support advantages of this method.

Fracture Fixation↗
PubMed1990

[Results of conservatively treated radius fractures at typical sites].

The results of 78 displaced Colles' fractures treated with reduction and below-elbow plaster were investigated. The follow-up varied from 11 to 24 months (phi 14 months). According to the schema of Sarmiento 66.7% of the patients had a very good or good result; 33.3% had a moderate or poor result. Most of the poor results were intraarticular fractures type C (AO). Primarily anatomical reduction leads to the best results. Every further reduction leads to a poor result, as well as to a higher number of Sudeck's disease.

Adult↗
PubMed1990

[Comparative theoretical study of various external fixation devices for the stabilization of distal radius fractures].

In the treatment of comminuted Colles' fractures different types of external fixation devices are used. Three main types are compared: (1) Fixation with two pins in each plane: Ace-Colles' type; (2) fixation with four or more parallel pins in one plane: Wagner/Hoffmann type; (3) fixation with four pins in one plane, two pins on each side of the fracture forming an angle of 60 degrees: ASIF-type fixator. These three types are compared with reference to the different forces that have to be neutralized by the seating of the pin in the bone. To minimize these forces with the aim of preventing pin-loosening, the theoretical results are used as the basis of practical surgical advice: (1) The distance between skin and fixator should be as short as possible. (2) The fixator should be fixed as close as possible to the fracture. (3) The diameter of the pins should be as great as possible. (4) If more than two pins per plane are used (Hoffmann/Wagner type), the pins should be wide apart. (5) If only two pins per plane are used (Ace-Colles Type) the bending stress on each pin is high (6) If more than two parallel pins per plane are used (Hoffmann/Wagner type), the axial forces on each pin are high. (7) The pins should be fixed at right angles to the fractured bone. Pins at other angles do more harm than good.

Biomechanical Phenomena↗