gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Article

Send article

The use of dorsal butters wire in treatment of distal radio fracture

Meeting Abstract

Search Medline for

  • presenting/speaker Abdel Hakim Hakim Massoud - Al Azhar Faculty of Medicine, Cairo, Egypt
  • Nash Naam - Southern Illiniois Hand Center, Southern Illinois University, Effingham, United States
  • Ahmad Akar - Al Azhar Faculty of Medicine, Cairo, Egypt
  • Tarek Badr - Al Azhar Faculty of Medicine, Cairo, Egypt
  • Amro Fouad - Al Azhar Faculty of Medicine, Cairo, Egypt

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1892

doi: 10.3205/19ifssh1379, urn:nbn:de:0183-19ifssh13793

Published: February 6, 2020

© 2020 Hakim Massoud et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives/Interrogation: Some cases with comminuted intra articular distal radius fracture have an associated dorsal rim fracture, this fracture may cause re displacement of the fracture and/ or carpal bone dorsal subluxation.

This study was aimed to assess the effectiveness of dorsal buttress wire in preventing re displacement of the fracture and carpal subluxation

Methods: The study included 79 patient with AO type C unstable distal radius, all of them had a dorsal rim fragment that compromised the stability of the fixation after either ORIF or CRIF of the main fragments.

An Intra-focal K-wire was inserted in the fracture site just proximal to the dorsal fragment obliquely to buttress it. The stability of the fracture was re examined under fluoroscopy. This technique was used with volar plating in 16 patient and with CR and pining in the remaining patients.

Results and Conclusions: After a mean follow up of 18 months, there were no cases of fracture redisplacement during follow up period. However, CR did not achieve acceptable reduction in 7 patients secondary to more than 2 mm radial shortening and or loss of solar tilt.

The average Mayo wrist score was 72 point.

Two cases developed CRPS that responded to conservative treatment.

17 patient were unsatisfied with the scar at the site of pin insertion.

Dorsal buttress k wire add in the stability of distal radius fracture post reduction and may represent a good alternative to simultaneous dorsal and solar plating.