Truffin RY, Gámez ARE, Gómez GIL, Requeiro MJJ

Language: Spanish
References: 8
Page: 895-899
PDF size: 260.26 Kb.

ABSTRACT

Unstable fracture of the distal radius is a common injury. If not properly treated, it can cause major disturbance in the radiocarpal joint and impaired hand function. A case of a 42-year-old patient of rural origin without a history of previous conditions treated at the Gustavo Aldereguía Lima Hospital in Cienfuegos is presented. He suffered a fall on the outstretched hand, which led to an unstable fracture of the left distal radius. Emergency surgery consisting of manual fracture reduction under general anesthesia and fixation with RALCA minifixator plus a percutaneously placed Kirschner wire was performed. Since this fracture is often inadequately treated, the presentation of this case can be helpful to many orthopedic surgeons.

REFERENCES

1. Villar de la Peña R, Gómez-Cambronero López V, Alonso Iglesias R, Chover Aledon V. ¿ Es suficiente la fijación externa en el tratamiento de las fracturas inestables del radio distal?. Revista Española Ortopedia y Traumatología. 2000 ; 44 (3): 286-93.

2. Axelrod TS, McMurtry RH. Open reduction and internal fixation of comminuted, intraarticular fractures of the distal radius. J Hand Surg Am. 1990 ; 15 (1): 1-11.

3. Simic PM, Weiland AJ. Fractures of the distal aspect of the radius: changes in treatment over the past two decades. Instr Course Lect. 2003 ; 52: 185-95.

4. Trumble TE, Culp RW, Hanel DP, Geissler WB, Berger RA. Intra-articular fractures of the distal aspect of the radius. Instr Course Lect. 1999 ; 48: 465-80.

5. Meseguer Olmo LR, Golián Canovas A. Fijación externa en las fracturas inestables de la extremidad distal del radio. Rev Ortop Trauma. 1993 ; 37 Suppl 1B: S47-52.

6. Delgado Rifá E, Escalona Zaldívar R. Ventajas de la supinación en la fractura de Colles. Rev Cubana Ortop Traumatol. 1998 ; 12 (1-2): 52-6.

7. Handoll HHG, Huntley JS, Madhok R. Fijación externa versus tratamiento conservador para la fractura distal del radio en adultos. Cochrane Plus [revista en Internet]. 2008 [ cited 23 Ene 2013 ] ; 4 (3): [aprox. 65p]. Available from: http://www.bibliotecacochrane.com/BCPGetDocu ment.asp?DocumentID=CD006194.

8. Handoll HHG, Huntley JS, Madhok R. Diferentes métodos de fijación externa para el tratamiento de la fractura distal del radio en adultos. Cochrane Plus [revista en Internet]. 2008 [ cited 23 Ene 2013 ] ; 4 (3): [aprox. 62p]. Available from: http://www.update-software.com/BCP/BCPGetDoc ument.asp?DocumentID=CD006522.