Arthroscopically Assisted Fixation of Intraarticular Distal Radius Fractures.

Abstract

Background: The most often broken bone in adults is the distal radius.There are several different surgical procedures that can be used to treat distal radius fractures (DRFs), including external fixation, volar or dorsal plating, spanning internal fixation, and percutaneous pinning. The primary purposes of wrist arthroscopy are to help reduce and cure fractures and to diagnose and treat concurrent injuries, primarily to the triangular fibrocartilage complex (TFCC), scapholunate (SL), and lunotriquetral (LT) ligament. With arthroscopy, intra-articular DRFs can have their anatomical steps and gaps reduced. Patients and Methods: The work's objective was to prospectively investigate the functional and radiological results of fixing the intraarticular distal end of the radius with arthroscopic assistance. Following surgery, patients were monitored monthly for three months and then every three months for twelve months. CT, X-ray imaging, and a functional evaluation using the modified Mayo wrist score (MMRS) were all part of the follow-up. Results: Clinical assessment by MMRS. At one year after surgery, the wrist's average flexion and extension were 71° and 62°, respectively. Supination averaged 70° and pronation averaged 67°. On the contralateral side, grip strength was 72% on average. which is increased after 6 Ms later up to 87%. MMRS was fair in 1 (5%) patient, good in 3 (15%) patients and excellent in 16 (80%) patients. It was satisfactory in 19 (95%) patients and unsatisfactory in 1 (5%) patient. Conclusions: Wrist arthroscopy appears effective for diagnosing intra-articular steps, gaps, and other associated injuries.