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Original Research

Ann Med Res. 2004; 11(2): 63-66


Bilateral Intra-Articular Distal Radius Fractures and Concomittant Organ injuries

Kadir Ertem*, Muharrem İnan*, Hacı Bostan*, M.Fethi Ceylan*, O.Arslan Bora*

.




Abstract


 

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






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