Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Hand/Wrist
Abstract number: 24535
DISTAL FOREARM FRACTURES REDUCED BY NEW DISTRACTION DEVICE
Ismail WARDAK
National Military Hospital, Kabul (AFGHANISTAN)
Col.Dr. Mohammad Ismail Wardak MD. MS. NMH Kabul AfghanistanDistal forearm
fractures reduced by new distraction device Abstract: Distal radial fractures are the
most common injury in Orthopaedic trauma. The methods of treatment include closed
and open reduction. Few percent of these injuries requires surgical intervention.The
important step for reduction of a fracture is traction, its usually achieved by two
assistant or huge apparatus using in some centers. Method and Material: from 2001
till 2009, 1100 displaced distal radial fractures treated in NMH Kabul. 37% (407) were
reduced by hand traction, manipulation and cast.59% (649) of these patients treated
by a new distraction device.Results: The results using the new distraction device was
much better than reduction by hand traction and manipulation. 60% of the patients
who treated by hand traction and casting reduced again in device with better
results.15% of cases was severely displaced who had primary indication for surgery
reduced by device and the surgery was not performed. 4% of these fractures fixed by
internal or external fixation, according to the patient request, late presentation or re
displacement in cast. Conclusion: Despite the distal radial fractures is the most
common injury but few cases of these fractures end up with surgical intervention. Our
device for the reduction of distal radial fractures has a simple and powerful
distraction-rotation mechanism it allows the surgeon to manipulate the fracture and
let the cast to set and dry in desired position while still there is continue traction.
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