Fixation in unstable distal radial fractures with

Objective To explore the clinical effect in 28 cases of unstable distal radial fractures with external fixators. Methods 28 patients with 29 unstable distal radial fractures were treated with close reduction. Their average age was 59 years old. According to Fernandez classification, there were 5case and 5 lateral in typeⅠ, 18 case and 18 lateral in type Ⅲ, 5 case and 6 lateral in type Ⅴ.In the fracture healing proved by X-ray scan, the fixator and pins were removed, and wrist rehabilitation therapy began. Results All the patients involved were followed-up for 12 to 38 months, average 20 months. The bone healing time were 6~8 weeks, average 7.6 weeks. Average palmar tilt 9°(-2°~25°), radial inclination 21°(13°~24°). Radial axial shortening, 4 mm in one patient, and 3 mm in 3 patients, and 2 mm in the others. The functional results included 20 excellent cases, 6 good cases, and 2 fair cases according to Gartland-Werley wrist functional assessment.The excellent rate was 92.8%.Conclusion External fixator is a ideal operation to treat unstable distal radial fractures.