Özet:

Purpose: The purpose of this study is to counter-configurate the techniques of intrrafo-cal assembly (Kapandji) and external fixator (EF) in radius distal end fractures, radiologically evaluate the quality of reduction, functional results and the patient’s subjective views. Material and Method: Unless of age, with the exception of multiple fragments with multiple joint broken lines, 101 patients who apply to dorsale replaced with radius distal end closed fractures were considered. 46 of them were Cappandji, 55 were treated with EF. Results: In the 3rd week of post-op, the pain was more noticeable in patients treated with Capandji (p=0,049). Movement limits, except ulnar deviation, were better in those treated with the Capandji method in the 6th week (p<0,001 for flexion, p<0,001 for extension). It was found that joint fractures, without taking into account the surgical technique, did not affect functional progress (movement clarity, hand-tension power, daily activity). The results were similar in the sixth month. The 6th week (p=0,000) and 3th week for the intrafocal stretching for the recovery of the stretching force. In the month (p=0,011) it was better. The results obtained by both techniques are similar to each other. The consolidation period is longer than expected. Is it not necessary to increase the immobilization time a little more or to delay the tel-rin removal? In addition, bone greffing can be a solution that will improve the radiological results in fractures with significant dorsal multi-disintegration.

Anahtar Kelimeler:

Özet:

Objective: The aim of this study was to compare intrafocal wire (Kapandji) and external fixation techniques, to evaluate the quality of the reduction, functional outcomes and the subjective opinions in dorsally displaced fractures of the distal radius. Materials and Meyhods: Regardless of age, 101 closed dorsally displaced distal radius fractures, except those with multiple intraar-ticular fracture line, were included in this study. 46 of them were treated with Kapandji and 55 with external fixator. Results: At post-op 3rd week, pain was more evident (p=0,049) in patients treated with Kapandji method. The range of motion, except for the patients with ulnar deviation, was better in patients treated with Kapandji at 6 weeks (flexion p<0,001, extension p<0,001). Regardless of surgical technique, intraarticular fractures do not affect functional progression (ROM, grip strength, daily activities). The results were similar at 6 months. The recovery of grip strength was better for intrafocal pinning at 6 weeks (p=0,000) and 3 months (p=0,011). Conclusion: The results obtained with both techniques are similar. In our opinion, the consolidation period lasts longer than expected. It might be better to increase the immobilization time and delay the removal of the wires. In addition, bone grafting can be a solution to improve radiological outcomes for fractures with severe dorsal comminution.