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Online ISSN 1827-1707
Galli S., Salvi S.
Background. Aim of the paper is to demonstrate the validity of the percutaneous Kirschner-wire fixation and cast immobilisation in the treatment of distal radial fractures.
Methods. With a retrospective study, 83 patients treated in our Department from 1992 to 1996 have been examined. This surgical technique for unstable non-articular fractures and for displaced reducible intra-articular fractures has been used. Out of the initial 83 patients, 61 were evaluated with an average follow-up of 26,4 months. The functional results were based on the Garland and Werley demerit point system; the anatomic assessment was evaluated from X-ray appearance, measuring radial angle and radial shift, dorsal angle and dorsal shift, radio-ulnar index.
Results. Clinical results were excellent in 65,6% of cases, good in 23%, sufficient in 9,8% and poor in 1,6%. From radiographical data, using normal range values proposed by Altissimi, radial angle was normal in 98,4% of cases, dorsal angle in 91,8% and radio-ulnar index in 95%.
Conclusions. In the maintenance of an anatomical reduction is the base for a good functional outcome, the results demonstrate and confirm the validity of this treatment. This treatment is also simple and can be easily reproduced, it's sure and without risks, quick, cheap and well tollerated by the patients.