Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Hand/Wrist
Abstract number: 24551
LCP IN SURGERY OF COMMINUTED INTRAARTICULAR FRACTURES OF
DISTAL RADIUS
Andrey KOPYLOV
Nizhniy Novgorod Research Institute of Traumatology and Orthopaedics, Nizhniy
Novgorod (RUSSIA)
INTRODUCTION: Fractures of forearm bones are observed in 20%-36% of all other
fractures. Injuries of the distal epimetaphysis of radius are most common (11%-30%
of all fractures) and occur in 90% of all fractures of forearm bones. Closed reduction
and plaster cast immobilisation remains the basic method of treatment of fractures of
distal radius. In operative treatment methods of internal and external fixation, and
also osteosynthesis with K-wires, using a well-known Kapandji technique, in
particular, are applied. According to the last publications, unsatisfactory results of
treatment of fractures of distal radius reach 75%. METHODS: In the period from 2007
to 2009 46 patients at the age of 17 to 82 were operated on distal radius fractures
applying osteosynthesis by LCP. All fractures were intraarticular, comminuted, type C
according to AO-ASIF classification with dorsal and palmar displacement of the bone
fragments. RESULTS: It should be noted that 39 patients had primary treatment -
closed reduction with plaster immobilization. However, after the analysis of control xray
films, inadequacy of primary reduction that caused secondary displacement of
fragments and necessity for the subsequent operative treatment has been revealed.
The period after trauma in these patients reached 4 months that demanded
corrective osteotomy with bone grafting. Both palmar and dorsal plates were applied.
CONCLUSION: One should remember that the lion's share of patients with distal
radius fractures is treated conservatively thus the unsatisfactory results are rather
common, that requires development and introduction of optimal methods of
treatment.
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