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Distal radius fractures are common, [3] and are the most common type of fractures that are seen in children. [4] Distal radius fractures represent between 25% and 50% of all broken bones and occur most commonly in young males and older females. [3] [2] A year or two may be required for healing to occur. [1]
Fractures of the radius bone are often associated by TFCC damage. If the fracture is treated surgically it is recommended to evaluate and if necessary repair the TFCC as well. [12] Closed fractures (where the skin is still intact) of the radius bone are treated non-surgically with cast; the immobilization can also help heal the TFCC.
Numerous pinning techniques have been proposed, however there is not enough evidence to determine which is more effective. [1] Pinning involves the manipulation, with X-ray guidance, of the fracture into an acceptable position, and the immediate insertion of metal pins, called Kirschner wires, through the skin, into one bone fragment and across the fracture line into the other bone fragment.
The ambulatory treatment of fractures was the direct result of these innovations. The innovation of the modern cast can be traced to, among others, four military surgeons, Dominique Jean Larrey, Louis Seutin, Antonius Mathijsen, and Nikolai Ivanovich Pirogov. [10] Dominique Jean Larrey (1768–1842) was born in a small town in southern France ...
Since bone healing is a natural process that will occur most often, fracture treatment aims to ensure the best possible function of the injured part after healing. Bone fractures typically are treated by restoring the fractured pieces of bone to their natural positions (if necessary), and maintaining those positions while the bone heals.
Fracture with a dorsal tilt. Dorsal is left, and volar is right in the image. There are a number of ways to classify distal radius fractures.Classifications systems are devised to describe patterns of injury which will behave in predictable ways, to distinguish between conditions which have different outcomes or which need different treatments.
An unstable fracture will involve fracture displacement, fractures to adjacent structures and injury to other associated soft tissues. A stable type 1 radial head fracture is typically managed with conservative measures including joint aspiration , immobilization in a sling for a few days and followed by early range of motion exercises.
External fixation is a surgical treatment wherein Kirschner pins and wires are inserted and affixed into bone and then exit the body to be attached to an external apparatus composed of rings and threaded rods — the Ilizarov apparatus, the Taylor Spatial Frame, and the Octopod External Fixator — which immobilises the damaged limb to facilitate healing. [1]