Aims: In this study we aimed to show the short term treatment results in patients with bilateral intra-articular
distal radius fracture and the probable frequency of coexistence other organ pathologies.
Material and Methods: Between January 2002 and February 2003, we evaluated 4 patients with bilateral intraarticular
distal radius fractures. Mean age of the patients was 38 years (range 21-52) and mean follow up period
was 16.5 months (range 13-23). Of these we encounted splenic rupture in three, kidney injuries in two, sacrum
non-displaced fracture in one, non-displaced acetabular fracture in one, sacroiliac seperation in one and nondisplaced
tibial fracture in one, fracture-dislocation of left elbow in one as concomittant injuries. All had fallen
from a height. Fractures were classified according to Frykman; five being type seven and three being type eight.
Despite a patient who was treated with open reduction and limited osteosynthesis, the rest of the patients were
treated with closed reduction and limited osteosynthesis with K-wires and unilateral external fixators.
Results: Radiologic results were evaluated according to Stewart, whereas the functional outcome was evaluated
with Demerit-Point Rating System. Regarding the radiological results, the outcome was fair in two and poor in six
of the patients. However, the functional evaluation revealed one good, five fair and two bad results.
Conclusion: The outcome of the short-term results of bilateral intra-articular distal radius fractures, caused by
falling from a height, that were treated with bilateral external fixators are poor and concomittant injuries,
especially spleen injuries, were frequent.
Key Words: Distal Radius, Distal Radius Fracture, External Fixators, Spleen
|
