Chandrashekhar V. Mudgal
BACKGROUND
A study was done to evaluate the effect of the ligamentotaxis in the management of intraarticular fractures of the distal radius.
MATERIALS AND METHODS
34 patients were studied prospectively between March 2014 and February 2016. All patients had intraarticular fracture of distal end of radius and all were treated with ligamentotaxis after closed reduction with fluoroscopic guidance. The follow-up period was 12 months. At the time of surgery, the mean age was 45.29 years.
RESULTS
In all fracture cases, the mean of fracture union was 5.8 weeks. During the final follow-up, the mean range of motion was 55.30 in flexion, 56.60 in extension, 21.0 in ulnar deviation, 9.00 in radial deviation, 70.30 in pronation and 67.10 in supination. According to the scoring system of Gartland and Werley, the clinical and functional outcomes showed that 15 patients (44.1%) had excellent results, 14 (41.1%) had good results, 3 (8.8%) had fair results and 2 (5.8%) had poor results.
CONCLUSION
Closed reduction under fluoroscopic image guidance and the ligamentotaxis is useful and effective in the treatment of intraarticular fractures of the distal radius.
