Abstract

PANCORBO SANDOVAL, Enrique A et al. Surgical treatment of the unstable fractures of the distal extreme of the radius. Rev Cubana Ortop Traumatol [online]. 2006, vol.20, n.2. ISSN 0864-215X.

The results obtained in the treatment of unstable fractures of the distal extreme of the radius in a sample of 55 patients are exposed. The reduction of fractures is performed by digital traction with previous regional anesthesia of the brachial plexus. Diverse osteosynthesis methods were used. The most frequent was the external fixative (41 cases) and blocking wires were used in those cases requiring them.Implants of coralline hydroxyapatite HAP-200 were applied as filling in 43 patients with loss of the bone tissue.The biomaterial was used as a substitute of the autologus bone graft or of the freeze-dried bone. The classification and algorithm described by Putnam was utilized to assess the conduct to be followed with the patients. The most common fractures were C2, C3 and A3 with 20, 13 and 9 cases, respectively. Horner's evaluative functional method was used to evaluate the patients from the objective and subjective point of view.

Keywords : unstable fractures; surgical treatment; coralline hydroxyapatite HAP-200.

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