External Fixator versus Pin and Plaster: The Approach to Distal Radius Fractures
Publish Year: 1392
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_INTJMI-3-1_006
تاریخ نمایه سازی: 15 مهر 1398
Abstract:
distal radius fracture is the most common fracture of the long bones in adults and is quite prevalent amongst orthopedic patients.Methods: This is a randomized clinical trial conducted with recruiting 70 patients suffered from comminuted distal radius fractures. The study was carried out in Imam Khomeini Hospital, Sari, Iran, in 2011 and 2012.Results: All patients in the external fixator group (37 patients) showed the radiographic features of the union while only 29 patients in the pin & plaster group (93.5%) manifested evidence of union (p= 0.117). Only 4 patients (10.8%) in the external fixator group and 7 patients in the pin and plaster group had mal-union (p= 0.189). Eight patients (11.8%) had infection of the pin site, 2 patients (5.4%) in the external fixator and 6 patients (19.4%) in the pin and plaster group.Conclusion: According to the results of this study, external fixator had fewer side effects in comparison to the pin and plasters surgery and is a preferred treatment for comminuted distal radius fractures. Moreover, this technique is associated with better clinical and functional outcome.
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Authors
Masoud ShayestehAzar
MD, Department of Orthopedic Surgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
Majid Sajadi
MD, Department of Orthopedic Surgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
Mohammad Hossein Kariminasab
MD, Department of Orthopedic Surgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
Seyed Mohamad Mehdi Daneshpoor
MD, Department of Orthopedic Surgery, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran