18% of the breaks are fractures of the distal radius (FDR), one of the most common diseases. This type of disease occurs in young, as a result of high energy trauma, and elderly patients with osteoporosis due to low energy trauma. In over 40% of cases are unstable injuries, so orthopedic treatment may become insufficient and unsatisfactory.
Treatment of distal radius
Currently, there is still no study that proves in Plastic Surgery specific treatment depending on the type of fracture. Nevertheless, the most common method is the use of palmar locking plates. The advantages of this technique include increased recovery, reduced fractured area and decrease the potential for conflict with the material used.
Moreover, it is also common application or bone graft substitute as a solution to the fracture of the distal radius. This technique promotes bone healing and avoid collapse. Its disadvantage is that the use of materials have complications and increases the cost of the procedure.
Study of radial fracture
In patients with distal radial fracture with osteoporosis or broken due to severe trauma, the specialist performs at first observational and descriptive study to classify the type of fracture according to patient characteristics and breakage.
The study was conducted between January 2009 and January 2013, 345 patients with unstable fracture and underwent surgery within. Of the 60 who met the requirements and agreed to participate, 41 were women and 19 men with an average age of 57 years, between 23 and 82 years. The injured right wrist was in 41 cases and the left in the remaining 19. In all cases, osteosynthesis was performed surgical treatment which reduces the fracture and fixed stably by plates, screws, nails, wire or needle, among other things. In any case graft or bone substitute is provided in the fracture.
The results were quite positive in 80% of cases the patients had no complications associated, three of them suffered tenosynovitis of the flexor tendons, inflammation of the synovial membrane, ie the tissue that covers the tendons; three had symptoms of Carpal Tunnel Syndrome (CTS), there was a case of dorsal tenosynovitis, another break longus muscle extensor (extensor pollicis Longus) and a persistent pain in the distal radio-ulnar joint. 92% of the patients returned to their normal activities after surgery the operated wrist having a degree of mobility and other minimally less than the healthy wrist flexion.
Article made from the study: "Fractures of the distal radius: the bone grafting or bone substitute in cases with severe osteoporosis or comminution is necessary?" Published in the Spanish Journal of Orthopaedic Surgery and Traumatology.