Dynamic trans-articular external fixation device for treating distal radial fractures in children

Objective To explore the results of manipulative reduction and trans-articular fixation with unilateral external fixators in the treatment of unstable distal radius fractures in children.Methods 28 children with distal radius fractures were treated with manipulative reduction and trans-articular fixation with unilateral external fixators.Results Follow-ups lasted from 6 to 14 months.The time of bone healing was 6 to 8 weeks.At the latest follow-up,the functional results of wrist included 15 excellent cases,11 good and 2 fair according to the Cooney rating system(include pain,functional status,wrist activity,grip strength).Conclusions Manipulative reduction and trans-articular fixation with unilateral external fixators,which is advantageous to fracture reduction,solid fixation,avoiding epiphyseal injury and early postoperative mobilization of hand and wrist,is an effective method to treat distal radius fractures in children.