Characterization of patients treated with RALCA external minifixer for unstable fractures of the distal end of the radius

Authors

Keywords:

Bone fractures, Radius fractures, Colles fracture, Fracture fixation, External fixators.

Abstract

Introduction: the fracture of the distal end of the radius is one of the most frequent injuries in orthopedic practice, the treatment of these injuries can be conservative or surgical, in relation to the latter, external fixation is one of the most used due to its advantages.

Objective: to characterize patients treated with the RALCA external minifixer for unstable fractures of the distal end of the radius.

Material and method: an observational, descriptive, cross-sectional study of a series of patients from the “Dr. Gustavo Aldereguía Lima”, from the province of Cienfuegos from July 2017 to July 2019. The study universe consisted of 28 adult patients who underwent surgery for a fracture of the distal end of the radius by the ligamentotaxis technique. Descriptive statistics were applied.

Results: males predominated (53.6%) and the age group from 26 to 36 years (28.6%). A greater number of patients were found in grade III (32.1%) according to the classification of fractures according to Frykman. Domestic accidents were the main cause of fracture (42.9%). It was observed that 82.1% of the patients evolved without complications. 60.7% of the patients obtained excellent results with the external fixation treatment.

Conclusions: the use of the RALCA external minifixer is established as a technique of simple use and high effectiveness in the treatment of unstable fractures of the distal end of the radius.

References

Egol KA, Koval KJ, Zuckerman JD. Handbook of Fractures. 5th ed. Philadelphia: Wolters Kluwer; 2015.

Jerrhag D, Englund M, Karlsson MK, Rosengren BE. Epidemiology and time trends of distal forearm fractures in adults a study of 11.2 million person-years in Sweden. BMC Musculoskelet Disord [Internet]. 2017 [citado 15/03/2021]; 18(1):240. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5457562/

Caldwell RA, Shorten PL, Morrell NT. Common Upper Extremity Fracture Eponyms: A Look Into What They Really Mean. J Hand Surg Am [Internet]. 2019 [citado 15/03/2021]; 44(4):331-334. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30241976/

María Rotella J, Sabino Rotella P, Martinez Martinez F, Moreno Fernandez JM. Fracturas del extremo distal del radio: resultados funcionales y radiográficos de 2 técnicas diferentes. Rev Latinoam Cir Ortop [Internet]. 2016 [citado 15/03/2021]; 1(4):143-150. Disponible en: https://doi.org/10.1016/j.rslaot.2017.02.008

Thelen S, Grassmann JP, Jungbluth P, Windolf J. Distal radius fractures: Current treatment concepts and controversies. Chirurg [Internet]. 2018 [citado 15/03/2021]; 89(10):798-812. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30232502/

Loisel F, Bourgeois M, Rondot T, Nallet J, Boeckstins M, Rochet S, et al. Treatment goals for distal radius fractures in 2018: recommendations and practical advice. Eur J Orthop Surg Traumatol. [Internet]. 2018 [citado 15/03/2021]; 28(8):1465-1468. Disponible en: https://doi.org/10.1007/s00590-018-2196-9

MacIntyre NJ, Dewan N. Epidemiology of distal radius fractures and factors predicting risk and prognosis. J Hand Ther. [Internet]. 2016 [citado 15/03/2021]; 29(2):136-45. Disponible en: https://doi.org/10.1016/j.jht.2016.03.003

Deepak CD, Gopalakrishna G, Ravoof A. Surgical management of distal end radius fractures by ligamentotaxis. Int J Health Sci Res. [Internet]. 2014[citado 15/03/2021]; 4(4):106-110. Disponible en:http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20171495

Truffin Rodríguez Y, Gámez Arregoitia R, Gómez Gil I, Requeiro Morejón J. Fijación externa de las fracturas inestables del extremo distal del radio. Presentación de un caso. Medisur [Internet]. 2014 [citado 15/03/2021]; 12(6):895-898. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2014000600011&lng=es.

Álvarez López A, García Lorenzo Y. Fijación externa en la fractura distal del radio. AMC [Internet]. 2017 [citado 19/3/2021]; 21(4):546-556. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552017000400014&lng=es.

Cooney WP. Fractures of the distal radius. A modern treatment-based classification. Orthop Clin North Am [Internet]. 1993 [citado 15/03/2021]; 24(2): 211-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/8479719/
Gartland J, Werley C. Evaluationofhealed Colles' fractures . J BoneJointSurg Am [Internet]. 1951 [citado 15/03/2021]; 33A: 895-907. Disponible en: https://pubmed.ncbi.nlm.nih.gov/14880544/

Gutiérrez-Espinoza H, Araya-Quintanilla F, Gutiérrez-Monclus R. Correlación entre el dolor y los índices radiológicos en pacientes mayores de 60 años con fractura de radio distal. Rev Soc Esp Dolor [Internet]. 2019 [citado 15/03/2021]; 26(6):324-330. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-80462019000600004&lng=es.

Hernández-González EH, Mosquera-Betancourt G, Quesada-Rodríguez R. Tratamiento quirúrgico de fractura de radio distal con placa volar bloqueada Synthes de doble columna. Rev. Arch Med Camagüey [Internet]. 2019 [citado 15/03/2021]; 23(1):[aprox. 8 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552019000100122&lng=es.

Sharma A. Prospective Randomized Study Comparing the External Fixator and Volar Locking Plate in Intraarticular Distal Radius Fractures: Which Is Better?.Cureus [Internet]. 2020 [citado 15/03/2021]; 12(2):e6849. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7053667/

Safdari M, Koohestani MM. Comparing the effect of volar plate fixators and external fixators on outcome of patients with intraarticular distal radius fractures: A clinical trial. Electronic Physician [Internet]. 2015 [citado 15/03/2021]; 7(2):1085-1091. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4477770/

Kotian P, Mudiganty S, Annappa R, Austine J. Radiological Outcomes of Distal Radius Fractures Managed with 2.7mm Volar Locking Plate Fixation-A Retrospective Analysis. J Clin Diagn Res [ Internet]. 2017 Jan [citado 15/03/2021]; 11(1):[aprox. 3 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5324455/.

MacIntyre NJ, Dewan N. Epidemiology of distal radius fractures and factors predicting risk and prognosis. J Hand Ther [Internet]. 2016 [citado 15/03/2021]; 29(2):136-45. Disponible en: https://doi.org/10.1016/j.jht.2016.03.003

Vamshi K Ch, Maheshwar L, Kiran Kumar K, Shivaprasad R. Osteosynthesis in Distal Radius Fractures with Conventional Bridging External Fixator; Tips and Tricks for Getting Them Right. J Clinical and Diagnostic Research. [Internet]. 2016 [citado 15/03/2021]; 10(1):[aprox. 4 p.]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26894133/

Ficke B, Ransom E F, Hess M C, Moon S A, McKissack M H, Shah A, et al. Outcomes of Staged Treatment for Complex Distal Radius Fractures. Cureus [Internet]. 2018 [citado 15/03/2021]; 10(9):e3273. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6235653/

De la Cruz Fernández MI. Fracturas distales del radio. Clasificación. Tratamiento conservador. Rev Esp Cir Osteoarticular. [Internet] 2008[citado 15/03/2021];236(46): 141-154. Disponible en: http://scielo.sld.cu/pdf/ort/v19n2/ort12205.pdf

López Cuellar R, Truffin Rodríguez Y, Pérez Álvarez Y. Tratamiento de la fractura del tercio distal del radio con fijación interna mediante placas y tornillos y minifijador externo RALCA®. Medisur [Internet]. 2016 [citado 15/03/2021]; 14(1):[aprox. 6 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2016000100011&lng=es.

Published

2021-05-25

How to Cite

1.
Enseñat Rojas JM, Díaz de la Rosa C, Cabrera Barbón JC, Jerez Labrada JA. Characterization of patients treated with RALCA external minifixer for unstable fractures of the distal end of the radius. Rev 16 de abril [Internet]. 2021 May 25 [cited 2024 Dec. 25];60(280):e1204. Available from: https://rev16deabril.sld.cu/index.php/16_04/article/view/1204

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